2020 Benefits

2020 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.

2020 OPEN ENROLLMENT PERIOD:

Wednesday, November 4, 2019 – Wednesday, December 4, 2019

Open Enrollment Video

Open Enrollment Presentation

2020 Open Enrollment Human Resources Memo

To enroll in benefits, use the Employee Navigator

Employee Navigator Instructions

MEDICAL

2020 Rates

Children's Health Insurance Program (CHIP)

CHIP Notice

COBRA

COBRA notice for new hires

New York State Paid Family Leave - NY Employees Only

CDPHP

Platinum EPO

Platinum EPO Benefit Summary

Platinum EPO Summary of Benefits and Coverage

Gold EPO

Gold EPO Benefit Summary

Gold EPO Summary of Benefits and Coverage

Silver EPO

Silver EPO-HSA Benefit Summary

Silver EPO-HSA Summary of Benefits and Coverage

Bronze EPO

Bronze EPO Benefit Summary

Bronze EPO Summary of Benefits and Coverage

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

Logging in: Logging into www.cdphp.com

Empire Blue Cross Blue Shield

Empire Platinum EPO 15

Empire BCBS Platinum EPO Summary of Benefits & Coverage

Empire BCBS Platinum EPO 15 Benefit Summary

Empire Gold EPO

Empire BCBS Gold EPO Summary of Benefits & Coverage

Empire BCBS Gold EPO Benefit Summary

Empire Silver EPO

Empire BCBS Silver 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

MVP Platinum EPO Summary of Benefits & Coverage

MVP Platinum EPO Benefit Summary

MVP Gold EPO

MVP Gold EPO Summary of Benefits & Coverage

MVP Gold EPO Benefit Summary

MVP Gold PPO

MVP Gold PPO Summary of Benefits & Coverage

MVP Gold PPO Benefit Summary

MVP Silver High Deductible EPO (HSA Qualified)

MVP Silver Summary of Benefits & Coverage

MVP Silver Benefit Summary

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

Health Insurance Marketplace Coverage

New Health Insurance Marketplace Coverage

DENTAL

MetLife Insurance Card Information

MetLife Dental Claim Form

MetLife Low Plan SPD

MetLife Mid Plan SPD

MetLife High Plan SPD

MetLife "My Benefits" Registration Flyer

MetLife Vision Access Program

VISION

Empire Blue View Benefit Summary

Empire Blue View Certificate of Coverage

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, 2020 through December 31, 2020

Unreimbursed Medical Expense Account (Annual plan limit is $2700 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 Plan Summary Plan Descriptions

PBS Logging in As First Time User

PBS Reimbursement Forms

PBS Dependent Care Assistance Program FSA

PBS How the Benny Card Works

PBS FSA DCA Plan Cafeteria Section

PBS IRS Eligible/Ineligible Expenses

HEALTH SAVINGS ACCOUNT

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

2020 Health Savings Account Information

HSA 2020 Limits

Individual Coverage $3,550

Family Coverage - $7,100

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 2020

CIRS Member Resources Guide

CIRS Plan Highlights as of 11-8-18 Tier I

CIRS Plan Highlights as of 11-8-18 Tier II

CIRS Pre-Retirement Workshop Schedule

Spanish - CIRS Plan Highlights as of 11-8-18 Tier I

Spanish - CIRS Plan Highlights as of 11-8-18 Tier II

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

TIAA 403b Committee Minutes

TIAA Summary Plan Description

TIAA Digital Resources Flyer

TIAA New Hire Flyer

TIAA Roth Flyer

TIAA How to Enroll Online Flyer

TIAA How To Manage Your Account Online Flyer

TIAA Mutual vs. Annuity Flyer

TIAA Online Tools Overview

TIAA Options for Terminated Employees

TIAA Retirement Planning Basics

About TIAA Flyer

TIAA Advice Flyer

TIAA Tools & Calculator Flyer

TIAA ENROLLMENT GUIDE

TIAA BENEFICIARY CHANGE FORM

TIAA SRA AND CATCHUP FORM

2020 PLAN LIMITS

CIRS 401k & TIAA 403b- $19,500

CATCH UP CONTRIBUTION LIMIT - $6,500

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 Beneficiary Form

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

Legal Club of America

Legal Club Enrollment Presentation

Legal Club Family Protection Plan

Legal Plan Lifestyle Questionnaire

Transamerica 2020 Plans

Accident Advance – Connecticut

Cancer Select Plus – Connecticut

Critical Illness – Connecticut

Short Term Disability – Connecticut

Accident Advance – Maryland

Cancer Select Plus – Maryland

Critical Illness – Maryland

Accident Advance – New York

Cancer Select Plus – New York

Critical Illness Select – New York

Short Term Disability – New York

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