Office of Human Resources
(315) 792-3276
Employee Benefits
Benefit Information
Health Insurance – Excellus BCBS
- Universal Enrollment Form
- Excellus WellBeing Brochure
- 2025 Health Insurance Rates
- TeleMed Information Flyer
- Option 1: Healthy Blue with HSA & ThriveWell
- Option 2: Simply Blue – without HSA funding or ThriveWell
- Option 3: Blue PPO - For Medicare Eligible Only
- Health Insurance Waiver and Policy
- Compliance Documents
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
Website: www.guardianlife.com
Phone Number: 1-800-541-7846
Vision Insurance – Davis Vision
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
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
- Prudential Disclosures
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
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: http://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:
http://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.
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
- Option 2: Simply Blue – without HSA funding
- Option 3: Blue PPO - For Medicare Eligible Only
- Health Insurance Waivers
- Compliance Documents
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
Website: www.guardianlife.com
Phone Number: 1-800-541-7846
Vision Insurance – Davis Vision
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
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
Health Insurance – Excellus BCBS
- Rates
- Enrollment Form
- Telemedicine for Medical and Behavioral Health
- Option 1: Healthy Blue with HSA & Healthy Rewards
- Option 2: Simply Blue – without HSA funding
- Option 3: Blue PPO - For Medicare Eligible Only
- Health Insurance Waivers
- Compliance Documents
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
Website: www.guardianlife.com
Phone Number: 1-800-541-7846
Vision Insurance – Davis Vision
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
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
Health Insurance – Excellus BCBS
- Rates
- Enrollment Form
- Summary Plan Description
- Annual Compliance Notices
- Option 1: Healthy Blue with HSA & Healthy Rewards
- Option 2: Simply Blue – without HSA funding
- Option 3: Blue PPO - For Medicare Eligible Only
- Health Insurance Waivers
Website: www.excellusbcbs.com
Phone Number: 1-800-499-1275
Prescription Coverage - OptumRX
Website: www.OptumRx.com
Phone Number: 1-855-265-0191
Dental Insurance – Guardian Dental
Website: www.guardianlife.com
Phone Number: 1-800-541-7846
Vision Insurance – Davis Vision
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
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
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
Contact Us
I would like to see logins and resources for:
For a general list of frequently used logins, you can also visit our logins page.