• Each year the district provides an Open Enrollment period (usually April or May) to allow employees to enroll in, or make changes to their health, dental and vision insurance benefits.  The benefit year runs from July 1 of the current year through June 30 of the following year.  Employees are only able to change or add benefits during the Open Enrollment period, unless they experience a "life change status".  If you are unsure if your situation qualifies as a life change status, please contact Tina Fair, Human Resources Coordinator at 717-677-7191, ext. 2721 or by email at t.fair@upperadams.org within 30 days of the event.

    The forms listed below should be used for making enrollment changes, or enrolling in insurance during the benefit year for a life change status.

    Insurance Enrollment Change Form

    HSA Request to Change/Contribute Form

    Spousal Eligibility Administrator and Professional Form

    Spousal Eligibility Classified Form

    All district benefits information can be found in the most recent Open Enrollment Newsletter.

    Click here to see the Open Enrollment 2021 Newsletter 

    Taking Control of Your Benefits

    Registering for an account for each insurance benefit gives members the ability to review benefit booklets and summaries, view claims history and pending claims, see provider lists, do a cost comparison, order prescription drugs, view discount programs, print insurance cards, and have access to health assistants for their medical benefit, and so much more!  Follow the instructions on each benefit website to register for an account.

    General questions about your benefits, and the plans available to you? - Contact Tina Fair, Human Resources Coordinator at 717-677-7191, ext. 2721 or by email at t.fair@upperadams.org

    Specific questions regarding medical procedures, providers accepting insurance, etc.? Contact the benefit provider by calling the customer service phone number listed below.

    Highmark Blue Shieldwww.highmarkblueshield.com

    Member Service: 1-866-727-4943

    Blues on Call: 1-888-258-3428

    The link below is published in accordance with the Consolidated Appropriations Act (CAA) Transparency in Coverage Rule, requiring publication of machine-readable files.  The files are being hosted by  medical benefit administrator, and can be accessed at the link included below.

    Highmark Groups:  mrfdata.hmhs.com

    Express Scripts

    Phone: 1-800-903-6228

    To acces your information, and your prescription coverage visit the Highmark Blue Shield website: www.highmarkblueshield.com

    American Fidelity (for members in a high deductible plan with an HSA)americanfidelity.com

    Contact AJ Gallagher at 1-877-518-2337 or by email at aj.gallagher@americanfidelity.com

    Delta Dentalwww.deltadentalins.com

    Customer Service 1-800-932-0783

    National Vision Administrators (NVA)www.e-nva.com

    Customer Service 1-800-672-7723