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2019 Benefits

2019 Benefits

Open Enrollment is your annual opportunity to make changes to your existing health care elections to best suit you and your family’s needs. Elections made during Open Enrollment will be in effect during the entire benefit year unless you experience a qualifying event, for example, marriage, divorce, loss of other coverage, etc.

2019 OPEN ENROLLMENT PERIOD:

Wednesday, November 7, 2018 –  Wednesday, December 5, 2018

Open Enrollment Video - Pending



To enroll in benefits, use the Employee Navigator

MEDICAL
2019 Rates

COBRA
COBRA notice for new hires

CDPHP

Platinum EPO 121 – 2nd
Platinum EPO 121 – 2nd Plan Summary

Gold EPO 220
Gold EPO 220 Plan Summary

Silver EPO 320
Silver EPO 320 Plan Summary

Bronze EPO 425 copay first
Bronze EPO 425 copay first Plan Summary

CDPHP Formulary 2 (CDPHP Website: Members/RxCorner/Covered Drug List/Drug Coverage & Pricing)

Formulary 2/Premier Network


CDPHP Value Added Plans
CDPHP Change Plan Highlights

Website: https://www.cdphp.com

Empire Blue Cross Blue Shield

Empire Platinum EPO 15
Empire BCBS Platinum EPO 15 Summary of Benefits & Coverage
Empire BCBS Platinum EPO 15 Benefit Summary

Empire Gold EPO 1500
Empire BCBS Gold EPO 1500 Summary of Benefits & Coverage
Empire BCBS Gold EPO Benefit Summary

Empire Silver EPO 3000
Empire BCBS Silver High Deductible EPO Summary of Benefits & Coverage
Empire BCBS Silver EPO 3000 Benefits Summary

Empire Formulary Rx Formulary: National Drug Lists \ Traditional Open Drug Lists (Empire BCBS Website: Menu/Care/Search Medications)

Empire BCBS Value Added Plans
Empire BCBS Enrollment Brochure
Empire BCBS EPO Member Flyer
Empire BCBS Gym Reimbursement
Empire BCBS Healthy Lifestyle
Empire BCBS Health Rewards Brochure
Empire BCBS Health Rewards Card
Empire BCBS Health Rewards Flyer
Empire BCBS Live Health Online

MVP

MVP Platinum EPO 5
MVP Platinum EPO 5 Summary of Benefits & Coverage
MVP Platinum EPO 5 Benefit Summary

MVP Gold EPO 6
MVP Gold EPO 6 Summary of Benefits & Coverage
MVP Gold EPO 6 Benefit Summary

MVP Silver High Deductible EPO 8 (HSA Qualified)
MVP Silver Summary of Benefits & Coverage
MVP Silver Benefit Summary

MVP Silver High Deductible PPO PPO (HSA Qualified)-(New)
MVP Silver High Summary of Benefits & Coverage
MVP Silver High Benefit Summary

MVP Formulary Rx Formulary: MVP Marketplace Formulary (MVP Website: Member/Prescription Benefit) 

MVP Value Added Plans
MVP Enrollment
MVP MyVisitNow
MVP Pediatric Dental Flyer
MVP Pharmacy
MVP Privacy Notice
MVP RX Discount
MVP Treatment Cost Calculator
MVP Wellness App

Website: https://www.mvphealthcare.com

DENTAL

Dental Plan Information

METLIFE

MetLife Insurance Card Information

MetLife Low Plan SPD
MetLife Mid Plan SPD
MetLife High Plan SPD
MetLife "My Benefits" Registration Flyer
MetLife Vision Access Program

VISION

Blue View Vision

OPT OUT

Opt-Out Form

Benefit- eligible employees hired before January 1, 2013 who elect to participate in a non-Cary health care plan may receive an Opt Out reimbursement benefit of $30.00 for unreimbursed expenses for each pay period in which they are eligible.
A completed Opt Out form must be returned along with a copy of your evidence of outside coverage.
Please return all completed Opt Out forms to Human Resources.

FLEXIBLE BENEFITS PLAN
This benefit will be available effective January 1, 2019 through December 31, 2019
Unreimbursed Medical Expense Account (Annual plan limit is $2650 per participant)
Dependent Care Assistance Account (Up to $5000 or $2500 if married filing separate tax returns)
PBS Flex Customer Service available from 8:30am – 4:30pm EST, Telephone number: 1.888.333.3901
Employees can also submit inquiries through the support desk email; claimsupport@pbscard.com

PBS Flexible Spending Information

PBS Flexible Spending Plan Summary Plan Descriptions

PBS Benefit Card Information

PBS Logging in As First Time User

PBS Reimbursement Forms

PBS Dependent Care Assistance Program

PBS FSA Eligible Expenses

PBS How Benny Card Works

HEALTH SAVINGS ACCOUNT

Employees who are newly electing an HSA plan must complete a HSA Bank enrollment form.

2019 Health Savings Account Information

HSA 2019 Limits

Individual Coverage $3,500

Family Coverage - $7,000

Catch up Provision (55+) - $1,000

HSA Bank Customer Service Number for HSA Accounts - 1-800-357-6246
If you sign up for HSA, you are only eligible for the modified FSA plan, which covers dental and vision.
Please see HR for more details.

RETIREMENT

CIRS

Website: http://cirsplans.org

CIRS Catch-up Contribution Form
For employees who will turn 50 in 2019

CIRS Member Resources Guide

CIRS Plan Highlights as of 10-1-16 Tier I

CIRS Plan Highlights as of 10-1-16 Tier II

CIRS Pre-Retirement Workshop Schedule

CIRS Benefits - 1/1/17

Letter to Members Hired Prior to October 1, 2016

New Enrollment Kit

TIAA

Website: https://www.tiaa.org/public/tcm/caryinstitute

About TIAA Flyer

TIAA How to Enroll Flyer

TIAA New Hire Flyer

TIAA Roth Flyer

TIAA Mutual vs. Annuity Flyer

TIAA How To Manage Your account Online

TIAA Advice Flyer

TIAA Online Tools Overview

TIAA Retirement Planning

TIAA Tools & Calculator Flyer

TIAA ENROLLMENT GUIDE

TIAA BENEFICIARY CHANGE FORM

TIAA SRA AND CATCHUP FORM

2019 PLAN LIMITS
CIRS 401k & TIAA - $19,000
CATCH UP CONTRIBUTION LIMIT - $6,000

CIRS Eligible Employees

Mutual of Omaha Group Term Life Benefits

Mutual of Omaha Group Term Life Certificate Summary

Mutual of Omaha AD&D Benefits

Mutual of Omaha AD&D Summary

TIAA Eligible Employees

Mutual of Omaha Group Life Insurance Booklet

Mutual of Omaha Group Term Life Insurance Certificate

Mutual of Omaha AD&D Certificate Summary

LONG TERM DISABILITY
Mutual of Omaha

Long Term Disability for All Benefitted Employees

Mutual of Omaha Long Term Disability Benefits

Mutual of Omaha Long Term Disability Summary

General Forms for CIRS & TIAA Eligible Employees

Mutual of Omaha Conversion Form

Mutual of Omaha Proof of Death Claim Form

Mutual of Omaha Portability Booklet

OPTIONAL LIFE INSURANCE

Sun-Life Health Insurance Company

ANCILLARY BENEFITS

Connecticut & Multi-State Brochures

New York Brochures

New York State Paid Family Leave - NY Employees Only

Legal Club of America
Legal Club Enrollment Presentation
Legal Club Family Protection Plan
Legal Plan Lifestyle Questionnaire

Transamerica Wellness Claims Postcard

EMPLOYEE ASSISTANCE PROGRAM
Free confidential assessments, information and referral services available to all Cary employees and household members, available 24/7.
Contact Number:  845-483-5150
24-Hour EAP Crisis Line:  (800) 724-0917
Locations in Poughkeepsie, Beacon , Fishkill  & Middletown, NY

MANDATORY COMPLETION

Mutual of Omaha Beneficiary Form - To be completed by TIAA and CIRS Non Union Employees

Sun Life Beneficiary Form - To be completed by current and newly enrolled Sun Life voluntary insurance participants


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