Health and Wellness Benefits for Staff

Below are the current health benefits options for employees.

• Benefits election form

Health plan comparison

• Comparison chart
• Rates

Health plan details

• Care First overview
• Care First, point of service plan
• Care First, preferred provider plan
• Kaiser Permanente
• Major medical
• Contact:
  • Kaiser Permanente - 301-468-6000 or 1-800-777-7902
  • CareFirst Blue Choice - 410-581-3506 or 1-800-648-5285
  • CareFirst Preferred Provider Network - 410-581-3506 or 1-800-648-5285

Prescription drug coverage (Express Scripts)

• Brochure
• Generics brochure
• National preferred formulary
• Exclusions
• Mobile app information
• Contact:​
  • Express Scripts - 1-877-206-7430 (fax for preauthorization, 1-800-357-9577)

Vision coverage

• PSASA and unaffiliated employees: National Vision Administrators — Plan A
• BTU, PSRP, L44, and CUB employees: National Vision Administrators Brochure — Plan B
• Brochure: Vision buy-up
• Contact:​
  • National Vision Administrators - 1-800-672-7723

Dental coverage

• Brochure 
• Contact:​​​​
  • CareFirst Preferred Dental PPO ("dental buy up") - 1-866-891-2802
  • CareFirst Basic Dental DHMO (basic plan) - 410-847-9060 or 1-888-833-8464

Flexible spending accounts for medical and dependent care

• Brochure
• Claim form
• Employee portal 
• Contact:​
  • P & A - 1-800-688-2611

Life insurance

• Basic: 
  • BTU (basic life coverage changing from $35,000 to $70,000) | PSRP | PSASA | FOP and CUB | Local 44 | unaffiliated
• Optional term life insurance
• Rate calculation spreadsheet
• Notice of continuation of coverage 
• Contact:​​​​
  • The Hartford - 1-800-549-6514

Long-term disability

• Highlights
• Benefit summary brochure: Plan A | Plan B
• Rate calculation spreadsheet
• Claim form
• Submit a claim
• Contact:
  • The Hartford - 1-800-538-8439 (claims only)

Below is a list of most eligible dependents, with the documentation that must be provided to prove the relationship. Copies of documents are acceptable, as long as they are clearly legible.

Dependents can be enrolled during the annual open enrollment period in the fall. Dependents can also be added after a "life changing" event — for example, a marriage or birth or adoption of a child. In these cases, contact the benefits team in the Human Capital Office to learn how to update your coverage.

• Spouse-Marriage certificate and, if married longer than 12 months, tax return filed within the past two years showing same address for spouse and employee. If you cannot provide a tax return, you can submit two separate documents that prove continued cohabitation (lease, mortgage statement, joint bill, etc.)
• Dependent child (by birth)*-Birth certificate
• Dependent child (by adoption or guardianship)*-Birth certificate and official court documents
• Stepchild*-Birth certificate, marriage certificate
• Disabled dependent-Birth certificate, completed disabled dependent waiver request (note that the dependent must be covered under the plan prior to age 19)

(* Dependent children can be covered up to the month that they turn 26 years of age.)