Page 3 - 2022 Penn Engineering Guide

Table of Contents

FEATURES OF MYADP 3
Enrollment for the 2022 Plan
Year will take place from
HOW TO REGISTER FOR MYADP 4
October 27 to November 9.
YOUR 2022 BENEFIT OFFERINGS 5-6 You must enroll for coverage
during this time.
Weekly Dependent Surcharge and Weekly Tobacco Surcharge 5
You’ll be able to:
Telemedicine through MDLive 6 • choose your Medical
coverage
Vision Plan 6 • choose your Dental
coverage
HEALTH SAVINGS ACCOUNT (HSA) 7 • enroll your dependents in
Medical and Dental
YOUR HEALTH COVERAGE - PPO Medical Plan 8-9 coverage
• enroll your dependents in
YOUR HEALTH COVERAGE - CDHP - High Deductible PPO Plan` 10-11 Vision coverage
• set up Flexible Spending
YOUR PRESCRIPTION COVERAGE – through CVS/Caremark 12
Accounts or Health Savings
YOUR DENTAL COVERAGE 13 Accounts
• purchase or change
FLEXIBLE SPENDING ACCOUNTS - through WageWorks® 14-15 Additional Life Insurance
• enroll your dependents in
Health Care FSA 15 or change Dependent Life
Insurance
Dependent Care FSA 15 • enroll in Long-Term
Disability
Filing Claims 15
The elections you make now
YOUR LIFE AND AD&D COVERAGE 16 will become effective on
January 1, 2022, and continue
Basic Life and AD&D Insurance 16 until December 31, 2022. You
won’t be able to change your
Additional Life and Dependent Life Insurance 16 elections during the year
unless you have a change in
YOUR HEALTH ADVOCACY SERVICE – through Direct Path 17
family status.
ADDITIONAL BENEFITS PROVIDED BY PENN ENGINEERING 18 A change in family status
occurs when:
Short-Term and Long-Term Disability Coverage 18
• you get married
• you get divorced
Employee Assistance Program (EAP) - through LifeWorks 18
• you have a baby, adopt a
Wellness Program – through LifeWorks 18 child or have a child placed
with you for adoption
Identity Theft Protection – through LIFELOCK® 18 • one of your dependents
becomes ineligible for
RATE INFORMATION 19
coverage
• your spouse has a change

in employment that 2
affects coverage, or
• one of your covered
dependents dies.