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2021 Benefits

2021 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.

2021 OPEN ENROLLMENT PERIOD:

Monday, November 2, 2020 –  Wednesday, November 25, 2020


2021 Open Enrollment Human Resources Memo

MEDICAL
2021 Rates


REQUIRED NOTICES
2021 Exchange Notice
CHIP Notice
Glossary of Health Coverage and Medical Terms
Model Notices
NYS DBL Statement of Rights
NYSPFL Statement of Rights

COBRA
COBRA notice for new hires

New York State Paid Family Leave - NY Employees Only

CDPHP

CDPHP Benefit Summaries and Summary of Benefits and Coverage

CDPHP Value Added Plans

Website: https://www.cdphp.com
Logging in: Logging into www.cdphp.com

Empire Blue Cross Blue Shield

Empire BCBS Benefit Summaries and Summary of Benefits and Coverage

Empire BCBS Value Added Plans

MVP

MVP Benefit Summaries and Summary of Benefits and Coverage

MVP Value Added Plans

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 and High Plan
MetLife PPO Summary of Benefits and Coverage

MetLife "My Benefits" Registration Flyer

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, 2021 through December 31, 2021
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)

2021 Flexible Spending Account

HEALTH SAVINGS ACCOUNT

2021 Health Savings Account Information

Health Savings Bank HSA Rollover Form

HSA 2021 Limits

Individual Coverage $3,600

Family Coverage - $7,200

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 2021

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

2021 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 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 2021 Plans

Transamerica Brochures

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



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