View Your 2023 Employee Benefits
Schedule Your
Appointment
Self-Enroll Now
Documents & Resources
OPEN ENROLLMENT:
October 26 – November 18
(self-enroll for Core Benefits only)
Explore
Your Benefits Fair
The Enrollment Video Postcard
Have questions or need help scheduling your appointment? Call 717-851-5959
(Benefits Fair with important legal notices, COBRA information and benefit resources)
Dependent Verification
2023 Benefits Guide
2023 Rates
Click below to view your benefits guide or login to
view your 2023 employee contributions
Click below to view important information and resources related to your 2023 benefits
Bargaining Unit
Enrollment Video
Postcard
Attestation Form
Use the resources below to submit dependent verification
documents required to complete your 2023 benefits enrollment
Spousal Medical Verification Form
Click to Self-Enroll
Self-enroll for Core Benefits Only
Self-Enroll Instructions
Click Here to Upload Documents
Non-Bargaining Unit Enrollment Video
Postcard
COMING
SOON!
(for those who wish to enroll
with a Benefits Educator)
Click to Access Your
WellSpan Benefits Enrollment Information
DOCUMENTS & RESOURCES
Money Matters
• Basic and Supplemental Life
- Life & Supplemental Life
- Beneficiary flyer
- Life Keys Flyer
- Travel Connect Brochure
- Travel Connect Details
- Travel Connect FAQs
- Life Insurance Conversion flyer
• Basic and Supplement Accidental Death
& Dismemberment
- Basic & Supplemental AD&D
- Beneficiary flyer
• Basic and Buy Up Long Term Disability
(Full Time Only)
- 2023 LTD & LTD Buy-Up
- Spousal Disability Benefit
• Daily Pay
- Daily Pay FAQ
- Daily Pay Sign Up
- Daily Pay Website
• Medical
- Self-Enrollment Instructions
- 2023 WellSpan Open Enrollment Guide
- 2023 High Deductible Health Benefits Chart
- 2023 Plus Plan Health Benefits Chart
- 2023 Standard Plan Health Benefits Chart
- 2022 Premium Formulary - PA List
- 2022 Premium Standard Formulary
- 2023 Premium Standard Formulary (with UM)
- 2023 Specialty Pharmacy Drug List
- Maintenance Medication List
- 2023 Premium Assistance Application
- 2023 Spousal Verification Form
- 2023 Eligible Dependent Enrollment Form
- WellSpan High Deductible Individual Plan SBC 2023
- WellSpan High Deductible Family Plan SBC 2023
- WellSpan Plus Plan SBC 2023
- WellSpan Standard Plan SBC 2023
- SAR WellSpan Health
- Total Rewards Summary Hourly
- Total Rewards Summary Union - COMING SOON!
- Total Rewards Summary Leaders
- Total Rewards Summary Salaried and Supervisors
- Total Rewards Summary Advanced Practice Providers
- Total Rewards Summary Hospitalist Physicians
- Total Rewards Summary Physician Leaders
- Total Rewards Summary Physicians
- Total Rewards Summary CRNA
- 2023 Legal Notices
• Dental
- Delta Dental
- 2023 Dental Plans Benefits Chart
- Delta Dental Online Resources
- Delta Dental Toothpic
- Delta Dental Virtual Consult
- Stay Connected
- YouTube Video - Why it Pays to Stay
In Network (Delta Dental) - 1 min
- Population Health Dental
- 2023 Dental Plans Benefits Chart
- Population Health Dental SPD
• Vision
- 2023 Vision Plan Chart
- VBA Beyond Benefits
• Flexible Spending Account – Medical
- How to keep your PayFlex card active
- PayFlex FSA
- PayFlex Limited Purpose FSA
- PayFlex Reimbursement Reference Guide
• Health Savings Account (HDHP Only)
- HSA & Limited Purpose FSA
- HSA Consumer Guide
- PayFlex HSA Customer ID Process
- PayFlex HSA Reference Guide
- PayFlex HSA
- Video: How an HSA Account Works
• Unum Benefits
- Accident Insurance Flyer
- Be Well Benefit Flyer
- Critical Illness Insurance Flyer
- Whole Life Insurance Flyer
Healthy Living
Balanced Lifestyle
• Flexible Spending Account – Dependent Care
- Dependent Care flyer
• Employee Assistance Program (EAP)
- EAP SBC
- EAP Brochure
- EAP Video Visits
- EAP Welcome Letter
- WellSpan EAP Link
- Work Life Portal
• MetLife Legal
- MetLife Legal Plans FAQ
- MetLife Legal Plans Product Overview
• ID Theft
- Identity Theft Overview
- Identity Theft Key Features
- Why Identity Theft Protection
• Voluntary Benefits
- Auto & Home Insurance Q&A
- Auto & Home Insurance flyer
- MetLife Pet Insurance FAQ
- MetLife Pet Insurance Overview
- Renters Insurance flyer
- 529 Savings Enrollment Guide
CObra
• 2023 COBRA Premiums
• Enrollment and Change Form – COBRA
• 2023 Legal Notices
• SAR WellSpan Health
