PGC’s Benefit Open Enrollment will run from December 7th to December 14th, 2023. 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 2024, 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):

When is Open Enrollment?

The Open Enrollment period will be held from Thursday, December 7th. The deadline to submit your healthcare plans elections for 2024 through Employee Navigator is Thursday, December 14th 2023, by 5:00 pm EST. Elections made during Open Enrollment will become effective January 1, 2024.

Is PGC’s Open Enrollment passive?

Open Enrollment for 2024 will be passive. This means if you’re already enrolled in healthcare benefits (including HSA and commuter elections) via PGC, and don’t make changes, you will automatically be enrolled in the same level of coverage.

Despite changing healthcare carriers from 2023, the plans have a 99.72% match rate, with no significant changes. All benefit offerings (including HSA and commuter elections) will be passively enrolled.

You will not need to take any action if you are satisfied with your current employer sponsored healthcare coverage. However, we highly recommend you review any plan changes and ensure you are happy with your coverage and premiums for 2024.

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. Medical premiums for 2024 have also increased, due to inflation and the current economic climate. As a result, your employer contribution to Medical will likely change slightly moving into the new benefits year. Medical ER contribution will likely increase and be visible on the benefits platform.

Please note that the annual HSA limit for 2024 is $4,150 for an individual and $8,300 for a family.

The annual limits for Commuter Benefits are $315 for Transit and $315 for Parking.

What if I don’t want to make any changes?

If you are satisfied with your current 2023 coverage along with the new healthcare carrier plan costs and do not want to make any changes moving into the new benefit plan year, you will NOT need to take any action. Remember, we have changed healthcare carrier to Aetna. The healthcare plan offerings are extremely similar to last year but we still recommend you review the new plan details and pricing to ensure you are satisfied with your level of coverage and premiums for 2024. You will automatically remain on the same tier of coverage and benefits you currently have by default if you do not make any changes.

Will I have another opportunity to make changes to my benefits after the Open Enrollment period closes?

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.

Will the employer contributions change?

You can review your employer contribution by logging into the Employee Navigator platform here.

Where can I view the 2024 benefit summary?

Visit our benefits page to review plan options, summaries, and premiums.

What Health Plan Options are available?

We will continue to offer 3 levels of healthcare coverage via Aetna, 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.

Is there a cost comparison that I can view comparing 2023 premiums vs. 2024 premiums?

Yes, we have provided this comparison for our medical and dental plans, please see below.

Medical Coverage 2023 vs 2024

Dental Coverage 2023 vs 2024

Vision Coverage 2023 vs 2024

What additional plan options do you offer?

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. 

What is a deductible?

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.

If I hit my deductible in 2023 will that roll over into 2024?

No, deductibles are only based on the respective calendar benefit year. Your deductible runs between January 1 and December 31 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.

What is a copay?

A copay is a fixed amount you pay for a heath 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.

What is co-insurance?

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.

What is the maximum out of pocket limit?

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.

What is a Health Savings Account (HSA)?

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 2024 you will be able to contribute up to  $4,150 for an individual and $8,300 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.

What if my benefit selections cost is less than the employer contribution?

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 2024

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 2024, so that you are familiar with 2024 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 646-490-360.