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

Open Enrollment Video

Open Enrollment Presentation

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

FSA Online Claim Submission Guide

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 Tier I

CIRS Plan Highlights Tier II

CIRS Pre-Retirement Workshop Schedule

Spanish - CIRS Plan Highlights Tier I

Spanish - CIRS Plan Highlights 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 SRA AND CATCHUP FORM

TIAA Manage Your Retirement Account

TIAA Enroll Today Flyer

TIAA Financial Terms to Know

TIAA New Hire Flyer

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

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