Healthcare Resources for McGuffey School District

Required Notices

• Summary Plan Description (PDF Document)
• Important Notices for Participants of Non-Grandfathered Plans (PDF Document)

Enrollment

• Enrollment/Change Form (PDF Document)
• New Hire, Mid Year Qualifying Event, or Family Status Change Instructions for Benefit Election/Changes (PDF Document)

Medical Benefits

• Highmark Bluecross Blue Shield Community Blue Flex EPO Premium SBC (PDF Document)
• Highmark Bluecross Blue Shield Community Blue Flex EPO Summary (PDF Document)
• Highmark Blue Cross Blue Shield Community Blue Flex PPO Bronze SBC (PDF Document)
• Highmark Bluecross Blue Shield Community Blue Flex PPO Bronze Summary (PDF Document)
• Highmark Blue Cross Blue Shield Community Blue Flex PPO Premium SBC (PDF Document)
• Highmark Blue Cross Blue Shield Community Blue Flex PPO Premium Summary (PDF Document)
• Highmark Blue Cross Blue Shield PPO Blue Premium SBC (PDF Document)
• Highmark Blue Cross Blue Shield PPO Blue Premium Summary (PDF Document)

For more information about your benefits from Highmark, visit the Highmark website or call 1-800-241-5704. Also, be sure to check out the other downloadable resources from Highmark.

Dental Benefits

• United Concordia Dental Benefits Summary—Basic Dental (50D91) (PDF Document)
• United Concordia Dental Benefits Summary—Basic Dental + Rider (50D94) (PDF Document)
• United Concordia Dental Benefits Summary—Basic Dental + Rider (50JXY) (PDF Document)
• United Concordia Dental Benefits Summary—Basic Dental with Orthodontics (50D93) (PDF Document)
• United Concordia Dental Benefits Summary—Buy-Up Plus (PDF Document)

For more information about your benefits from United Concordia, visit the United Concordia website or call 1-800-332-0366. Also, be sure to check out other downloadable resources from United Concordia.

Vision Benefits

• Pennsylvania State Education Association Vision Summary Plan Description (PDF Document)
• Pennsylvania State Education Association Vision Care Plan Summary of Benefits (PDF Document)

Bronze Plan

Due to new requirements under the Affordable Care Act the District is obligated to offer, employees averaging 30 or more hours per week without medical benefits, the ability to purchase the coverage. An overview of the plan, benefits summary, and enrollment form are all provided below. Please take note that only you and eligible dependents are entitled to enroll.

• Bronze Plan Overview (PDF Document)
• Bronze Plan Enrollment Grid (PDF Document)
• Bronze Plan Enrollment Form (PDF Document)

Additional Resources

• Summary Annual Report for Pennsylvania State Education Association Health and Welfare Plan (PDF Document)