IMPORTANT: Open Enrollment for the 2025 Plan Year is ACTIVE. This means that even if you are enrolled and happy with your coverage and costing in 2024, you will need to actively re-elect all benefits, including health, dental, vision, long-term disability, short-term disability, life insurance, and commuter benefits, in order to have active coverage in 2025. If you do not submit your elections through Employee Navigator between December 4th, 2024 and December 12th, 2024, you will lose all benefits effective January 1st, 2025.
PGC’s Benefit Open Enrollment will run from December 4th to December 12th, 2024. This is the only period in which you can shop for, adjust, terminate, and enroll in the benefits offered to you by PGC – with the exception of a qualifying life event.
Before you enroll in the employer sponsored healthcare plans for 2025, to help you navigate the process, take a look at FAQs below to answer any queries you may have.
Open Enrollment Frequently Asked Questions (FAQs):
-
The Open Enrollment period will be held from Wednesday, December 4th. The deadline to submit your healthcare plans elections for 2025 through Employee Navigator is Thursday, December 12th 2024, by 5:00 pm EST. Elections made during Open Enrollment will become effective January 1st 2025.
-
There will be no changes to the cost of Voluntary Long-Term Disability, Voluntary Short-Term Disability, and Voluntary Life Insurance plans. There will be increases to our Dental premiums for some plans. Medical premiums for 2025 have also increased for some plans, due to inflation and the current economic climate. As a result, your employer contribution to Medical may change slightly moving into the new benefits year. Medical ER contribution will be visible on the benefits platform.
Please note that the annual HSA limit for 2025 is $4,300 for an individual and $8,550 for a family.
The annual limits for Commuter Benefits are $325 for Transit and $325 for Parking.
-
As enrollment for 2025 is active, even if you were satisfied with your coverage in 2024, you will need to re-elect your benefits for the 2025 plan year. If you do not submit your elections during Open Enrollment, you will not have active coverage effective January 1st, 2025.
-
Outside of open enrollment, you can only make changes, opt into or out of benefits if you have a qualifying life event. A change in circumstance such as losing healthcare coverage, getting married or divorced, having, or adopting a baby, make you eligible for a special enrollment period.
You will have 30 days from your life event to enroll in or make changes to your PGC employer sponsored benefit plans.
-
You can review your employer contribution by logging into the Employee Navigator platform here.
-
Visit our benefits page to review plan options, summaries, and premiums.
-
We will continue to offer 3 levels of healthcare coverage via United Healthcare, with options to cover you alone, as a couple or family. You can personalize your benefits with premium medical plans and ancillary options. There will be a silver, gold and platinum medical coverage options available, including two plans with a Health Savings Account option.
Voluntary Short-Term and Long-Term Disability coverage as well and Life Insurance are offered through New York Life. View the full plans here.
-
Yes, we have provided this comparison for our medical, dental, and vision plans, please see below.
-
PGC offers Voluntary Short-Term & Long-Term Disability and Voluntary Life with optional Accidental Death and Dismemberment coverage (AD&D), which will allow you to purchase disability coverage and additional Life and/or AD&D coverage for you and your family.
These voluntary plans are offered through New York Life and provide peace of mind that your family will be taken care of should something unexpected happen.
-
This is the amount you must pay in a calendar year before the plan begins to pay out. Note that not all services require you to meet the deductible. For example, there are plans that require you to pay up to the full deductible before Primary Care Physician, Specialist or other office visits will be covered by insurance. Please view PGC’s benefit summary to see what the in and out of network deductibles are for each plan.
-
No, deductibles are only based on the respective calendar benefit year. Your deductible runs between January 1st and December 31st every year, this means your healthcare bills would need to exceed your deductible before the insurance company would start paying, excluding copays, coinsurance, and non-covered expenses. Your deductible will restart moving into the new benefit calendar year.
-
A copay is a fixed amount you pay for a health care service usually when you receive the service. The amount varies by the type of service. You may also have a copay when you get a prescription filled. Please view the benefit summary, the copay amounts will be outlined based on the respective benefit plans.
-
Coinsurance is a healthcare cost sharing between you and your insurance company. Not all plans have coinsurance (some have copay). It is a split of the cost of the services – the coinsurance amount you see on PGC’s benefit summary is the amount that the insurance company will pay.
-
Out-of-pocket limit is the maximum amount of money you may pay for medical services in a calendar year. Out-of-pocket limit may not include deductibles paid depending on insurer’s definition of the term. The maximum amount of money you may spend for healthcare services also may vary whether they are in or out of network.
-
An HSA allows you to set aside pre-tax dollars to pay for care when you need it, now or in the future. You can use money in the account to pay for qualified medical expenses, such as hospital visits, prescription drugs, or copays for doctor visits.
All the money in your HSA rolls over from year to year, and it's yours even if you change health plans or jobs or retire. The money you put into your HSA, any interest you earn, and even the money you take out to pay for health care is all tax-free.
In 2025 you will be able to contribute up to $4,300 for an individual and $8,550 for a family. If you are 55 or older, you can contribute an extra $1,000 a year.
PGC’s Gold and Silver Medical Benefit plans have an HSA offering.
-
If there are excess funds in your employer contribution once you have selected your Medical, the remainder will be applied toward any Dental or Vision offerings you choose. If there are excess funds after all elections have been made, these will be forfeited. Please note your employer contribution cannot be applied to Voluntary Short-Term Disability, Voluntary Long-Term Disability or Life Insurance premiums.
Review Your Coverage for 2025
Your benefits choices can have a big impact on your health care experiences and expenses, so it is important that you consider your healthcare plan options carefully to ensure you select the right level of coverage for you and your family. We recommend that you carefully review your coverage for 2025, so that you are familiar with 2025 healthcare medical plan pricing, and full benefit options (insurance, dental etc), along with confirming all your information is correct on the portal.
Any Questions?
If you have any questions, we will be happy to discuss them with you, feel free to reach out to PGC’s Workforce Experience Team via email at workforce@pgcgroup.com or by phone at 646-490-3600.