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Utica University
Tower and Bell Halls

Employee Benefits

  1. Directory
  2. Human Resources
  3. Employee Benefits

Human Resources

  • Employee Benefits
  • Payroll
  • Search Committee Resources
  • Employee Resources
  • Employee Handbook
  • Title IX at Utica
  • Bias Incident Reporting
  • Employee Recognition
  • Student Employment
    • Graduate Assistants
    • Student Employment Portal

Benefit Information

Health Insurance – Excellus BCBS

  • Universal Enrollment Form
  • Excellus WellBeing Brochure
  • TeleMed Information Flyer
  • Option 1: Healthy Blue with HSA & ThriveWell
    • General Benefits Summary
    • Healthy Blue SBC
    • HSA Contribution Schedule
    • Voluntary HSA Contribution Form
  • Option 2: Simply Blue – without HSA funding or ThriveWell
    • General Benefits Summary
    • Simply Blue SBC
  • Option 3: Blue PPO - For Medicare Eligible Only
    • General Benefits Summary
    • Blue PPO SBC
  • Health Insurance Waiver and Policy
    • Utica University Waiver Buyout Form and Memo
  • Compliance Documents
    • Annual Health Plan Compliance Memo

Website: www.excellusbcbs.com
Phone Number: 1-800-499-1275

Prescription Coverage - OptumRX

  • Premium Standard Formulary
  • RX Exclusion List
  • Preventative Drug List
  • Home Delivery Order Form
  • Temporary ID Card

Website: www.OptumRx.com
Phone Number: 1-855-265-0191

Dental Insurance – Guardian Dental

  • Rates
  • Highlights
  • Guardian Plan Booklet

Website: www.guardianlife.com
Phone Number: 1-800-541-7846

Vision Insurance – Davis Vision

  • Rates
  • Highlights

Website: www.davisvision.com
Phone Number: 1-800-999-5431

Flexible Spending Account (FSA) – Lifetime Benefit Solutions

  • Flexible Spending Highlights
  • Enrollment Form
  • Dependent Care Reimbursement Request Form
  • FSA Reimbursement Form

Website: www.lifetimebenefitsolutions.com
Phone Number: 1-800-327-7130

TIAA Retirement

  • Salary Reduction Form (for New Hires)
  • Online Enrollment Instructions
  • Plan and Investment Notice
  • Defined Contribution Summary Plan Description

Website: TIAA.org/Utica
Phone Number: 800-842-2252

Representative:
Mark Couch, TIAA Financial Consultant
Phone: (866) 698-4221
Email: mcouch@tiaa.org

Employee Assistance Program (EAP) – NextGen

  • Member Guide

Website: www.nexgeneap.com (Company ID: 9000)
Phone Number: 1-800-EAP-CALL

Voluntary Insurance

  • UNUM Term Life Highlights and Rates
  • UNUM Enrollment Form
  • Prudential AD&D Highlights and Rates
  • Prudential Enrollment Form

UNUM Website: www.UNUM.com
UNUM Phone Number: 1-800-275-8686
Prudential Website: www.prudential.com
Prudential Phone Number: 1-877-232-3619

Miscellaneous

  • Tuition Benefits
  • LifeLock
  • Verizon
  • BJ's Wholesale Club
  • Public Service Loan Forgiveness (PSLF) program

Transparency in Coverage

This notice is for all participants in Utica University's health insurance plan.  Transparency in Coverage rules have been established by the Centers for Medicare & Medicaid Services (CMS).  This regulation, which went into effect on July 1, 2022, requires health plans to post on their public website "machine-readable files" containing the following price information:

  • In-network provider contracted rates for items and services
  • Out-of-network allowed amounts and billed charges for items and services 

Please note that these rates and charges are not set by Utica University, but rather are rates established between the insurance company and providers. 

The rule requires employers to place a link on their benefits web page that directs visitors to machine-readable files on the Excellus Blue Cross Blue Shield website.  The link is:  https://www.excellusbcbs.com/transparency-coverage-mrf

Machine readable files are designated for a machine.  As they are not user-friendly, we instead advise participants to login to their online account to access Excellus Blue Cross Blue Shield's Estimated Medical Cost Tools.  For more information about the tool, please visit:  

https://www.excellusbcbs.com/find-a-doctor/estimate-medical-costs

This tool will help most members estimate out-of-pocket costs based on the health insurance plan in which they are enrolled.  

Behavioral Health Factsheet

Member Benefit Reminder

Previous Benefit Year Information

Health Insurance – Excellus BCBS

  • Rates
  • Enrollment Form
  • Telemedicine for Medical and Behavioral Health
  • ThriveWell Program  |  ThriveWell Quick Start Guide
  • Option 1: Healthy Blue with HSA & Healthy Rewards
    • General Benefits Summary
    • Healthy Blue SBC
    • HSA Contribution Schedule
    • Voluntary HSA Contribution Form
    • Healthy Rewards by Rally
  • Option 2: Simply Blue – without HSA funding
    • General Benefits Summary
    • Simply Blue SBC
  • Option 3: Blue PPO - For Medicare Eligible Only
    • General Benefits Summary
    • Blue PPO SBC
  • Health Insurance Waivers
    • Utica University Waiver Buyout
    • Utica University Buyout Plan Memo
    • Excellus Waiver Form
  • Compliance Documents
    • 2023 Annual Compliance
    • Summary Plan Description
    • Summary of Material Modification - Effective 01/01/2021
    • Summary of Material Modification - Effective 02/15/2022

Website: www.excellusbcbs.com
Phone Number: 1-800-499-1275

Prescription Coverage - OptumRX

  • Premium Standard Formulary
  • RX Exclusion List
  • Preventative Drug List
  • Home Delivery Order Form
  • Temporary ID Card

Website: www.OptumRx.com
Phone Number: 1-855-265-0191

Dental Insurance – Guardian Dental

  • Rates
  • Highlights
  • Maximum Rollover Infographic – High Plan Only
  • Enrollment Form

Website: www.guardianlife.com
Phone Number: 1-800-541-7846

Vision Insurance – Davis Vision

  • Rates
  • Highlights
  • Enrollment Form

Website: www.davisvision.com
Phone Number: 1-800-999-5431

Flexible Spending Account (FSA) – Lifetime Benefit Solutions

  • Flexible Spending Highlights
  • Enrollment Form
  • Dependent Care Reimbursement Request Form
  • FSA Reimbursement Form

Website: www.lifetimebenefitsolutions.com
Phone Number: 1-800-327-7130

TIAA Retirement

  • Salary Reduction Form (for New Hires)
  • Online Account Management
  • Plan and Investment Notice
  • Defined Contribution Summary Plan Description

Website: TIAA.org/Utica
Phone Number: 800-842-2252

Representative:
Mark Couch, TIAA Financial Consultant
Phone: (866) 698-4221
Email: mcouch@tiaa.org

Employee Assistance Program (EAP) – NextGen

  • Member Guide

Website: www.nexgeneap.com (Company ID: 9000)
Phone Number: 1-800-EAP-CALL

Voluntary Insurance

  • UNUM Term Life Highlights and Rates
  • UNUM Enrollment Form
  • Prudential AD&D Highlights and Rates
  • Prudential Enrollment Form

UNUM Website: www.UNUM.com
UNUM Phone Number: 1-800-275-8686
Prudential Website: www.prudential.com
Prudential Phone Number: 1-877-232-3619

Miscellaneous

  • Tuition Benefits
  • LifeLock
  • Verizon
  • BJ's Wholesale Club
  • Public Service Loan Forgiveness (PSLF) program

Health Insurance – Excellus BCBS

  • Rates
  • Enrollment Form
  • Telemedicine for Medical and Behavioral Health
  • Option 1: Healthy Blue with HSA & Healthy Rewards
    • General Benefits Summary
    • Healthy Blue SBC
    • HSA Contribution Schedule
    • Voluntary HSA Contribution Form
    • Healthy Rewards by Rally
  • Option 2: Simply Blue – without HSA funding
    • General Benefits Summary
    • Simply Blue SBC
  • Option 3: Blue PPO - For Medicare Eligible Only
    • General Benefits Summary
    • Blue PPO SBC
  • Health Insurance Waivers
    • Utica University Waiver Buyout
    • Excellus Waiver Form
  • Compliance Documents
    • 2023 Annual Compliance
    • Summary Plan Description
    • Summary of Material Modification - Effective 01/01/2021
    • Summary of Material Modification - Effective 02/15/2022

Website: www.excellusbcbs.com
Phone Number: 1-800-499-1275

Prescription Coverage - OptumRX

  • Premium Standard Formulary
  • RX Exclusion List
  • Preventative Drug List
  • Home Delivery Order Form
  • Temporary ID Card

Website: www.OptumRx.com
Phone Number: 1-855-265-0191

Dental Insurance – Guardian Dental

  • Rates
  • Highlights
  • Maximum Rollover Infographic – High Plan Only
  • Enrollment Form

Website: www.guardianlife.com
Phone Number: 1-800-541-7846

Vision Insurance – Davis Vision

  • Rates
  • Highlights
  • Enrollment Form

Website: www.davisvision.com
Phone Number: 1-800-999-5431

Flexible Spending Account (FSA) – Lifetime Benefit Solutions

  • Flexible Spending Highlights
  • Enrollment Form
  • Dependent Care Reimbursement Request Form
  • FSA Reimbursement Form

Website: www.lifetimebenefitsolutions.com
Phone Number: 1-800-327-7130

TIAA Retirement

  • Salary Reduction Form (for New Hires)
  • Online Account Management
  • Plan and Investment Notice
  • Defined Contribution Summary Plan Description

Website: TIAA.org/Utica
Phone Number: 800-842-2252

Representative:
Mark Couch, TIAA Financial Consultant
Phone: (866) 698-4221
Email: mcouch@tiaa.org

Employee Assistance Program (EAP) – NextGen

  • Member Guide

Website: www.nexgeneap.com (Company ID: 9000)
Phone Number: 1-800-EAP-CALL

Voluntary Insurance

  • UNUM Term Life Highlights and Rates
  • UNUM Enrollment Form
  • Prudential AD&D Highlights and Rates
  • Prudential Enrollment Form

UNUM Website: www.UNUM.com
UNUM Phone Number: 1-800-275-8686
Prudential Website: www.prudential.com
Prudential Phone Number: 1-877-232-3619

Miscellaneous

  • Tuition Benefits
  • LifeLock
  • Verizon
  • BJ's Wholesale Club
  • Public Service Loan Forgiveness (PSLF) program

Health Insurance – Excellus BCBS

  • Rates
  • Enrollment Form
  • Summary Plan Description
  • Annual Compliance Notices
  • Option 1: Healthy Blue with HSA & Healthy Rewards
    • General Benefits Summary
    • Healthy Blue SBC
    • HSA Contribution Schedule
    • Voluntary HSA Contribution Form
    • Healthy Rewards by Rally
  • Option 2: Simply Blue – without HSA funding
    • General Benefits Summary
    • Simply Blue SBC
  • Option 3: Blue PPO - For Medicare Eligible Only
    • General Benefits Summary
    • Blue PPO SBC
  • Health Insurance Waivers
    • Utica College Waiver Buyout
    • Excellus Waiver Form

Website: www.excellusbcbs.com
Phone Number: 1-800-499-1275

Prescription Coverage - OptumRX

  • OptumRX Overview
  • Transition Guide
  • Premium Standard Formulary
  • Preventative Drug List

Website: www.OptumRx.com
Phone Number: 1-855-265-0191

Dental Insurance – Guardian Dental

  • Rates
  • Highlights
  • Maximum Rollover Infographic – High Plan Only
  • Enrollment Form

Website: www.guardianlife.com
Phone Number: 1-800-541-7846

Vision Insurance – Davis Vision

  • Rates
  • Highlights
  • Enrollment Form

Website: www.davisvision.com
Phone Number: 1-800-999-5431

Flexible Spending Account (FSA) – Lifetime Benefit Solutions

  • Flexible Spending Highlights
  • Enrollment Form
  • Dependent Care Reimbursement Request Form
  • FSA Reimbursement Form

Website: www.lifetimebenefitsolutions.com
Phone Number: 1-800-327-7130

TIAA Retirement

  • Online Account Management
  • Defined Contribution Summary Plan Description

Website: TIAA.org/Utica
Phone Number: 800-842-2252

Representative:
Mark Couch, TIAA Financial Consultant
Phone: (866) 698-4221
Email: mcouch@tiaa.org

Employee Assistance Program (EAP) – NextGen

  • Member Guide

Website: www.nexgeneap.com (Company ID: 9000)
Phone Number: 1-800-EAP-CALL

Voluntary Insurance

  • UNUM Term Life Highlights & Rates
  • UNUM Enrollment Form
  • Prudential AD&D Highlights & Rates
  • Prudential Enrollment Form

UNUM Website: www.UNUM.com
UNUM Phone Number: 1-800-275-8686
Prudential Website: www.prudential.com
Prudential Phone Number: 1-877-232-3619

Miscellaneous

  • Tuition Benefits
  • LifeLock
  • Verizon Wireless Discount
  • BJ's Wholesale Club Discount
  • Public Service Loan Forgiveness (PSLF) program

Contact Us

Office of Human Resources

Tower and Bell Halls

Office of Human Resources

(315) 792-3276
hr@utica.edu

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For a general list of frequently used logins, you can also visit our logins page.
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