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| March 10, 2010 |
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Welcome to PTC Benefits Group Online!
Overview
Welcome to the Council's Employee Benefits Group Online. We are dedicated to serving
you in the administration of your employee benefits program. More than 700 employers
count on the Council's Employee Benefits Group for coverage for their employees. The
combined negotiating power of these employers and their 13,000 employees allows the
Council's Employee Benefits Group to offer a variety of benefit offerings at low group rates.
Just take a look at our benefit offerings.
Benefit Options
| Benefit Options Available to Employers |
Traditional
more information…
|
The Traditional program is commonly referred to as a
fee-for-service program, which includes Blue Cross, Blue Shield and Major
Medical coverage |
PreferredBlue PPO
more information…
|
The PreferredBlue PPO is a managed care option that provides
the greatest amount of choice with respect to providers using the PreferredBlue
Provider Network. Network providers must be used to receive the highest levels
of coverage. Out-of-network coverage is available.
|
Out of Area (OOA) Products
more information...
Out of Area Comprehensive Plan
BlueCard Out of Area PPO |
The Out of Area program is available to employers who
have employees residing outside of western Pennsylvania. |
Open Access Products
more information...
DirectBlue
DirectBlue Basic
DirectBlue Value
CommunityBlue Direct |
The Open Access plans offer 'open access' to care. In these plans, each covered family member has direct access to any provider - including specialists - in or out of the DirectBlue network or CommunityBlue network, respectively. Care that is received from a network provider is paid at the highest level. Care that is received from an out-of-network provider will be paid at a lower level after satisfying a deductible. No referrals are required for medical services. Although members are not required to select a Primary Care Physician (PCP), they can choose a personal physician to establish an ongoing relationship and to keep care consistent. |
SelectBlue POS
more information...
High Option
90/70
Basic |
The SelectBlue POS plan is a managed care program that
requires a primary care physician to coordinate care through the SelectBlue
Network of providers. Members can choose to receive care “coordinated” through
their PCP or “self-refer” to a provider of their choice. The Council's
Benefits Group offers 3 SelectBlue Options. |
CommunityBlue POS
more information...
High POS
Low Option POS |
The CommunityBlue POS is a managed care option that requires a
primary care physician to coordinate care through the CommunityBlue Network of
providers. Members can choose to receive care “coordinated” through their PCP or
“self-refer” to a provider of their choice. CommunityBlue features a provider
network exclusive to Allegheny and surrounding counties. The Council's
Benefits Group offers two CommunityBlue plans. |
KeystoneBlue HMO
more information… |
The KeystoneBlue HMO is a managed care plan that requires
members to select a PCP from the KeystoneBlue Network of providers. All care
must be provided by, or coordinated through the PCP. |
65 Special
more information… |
The 65 Special is a traditional fee-for-service program designed to supplement Medicare Part A and B. |
Dental
|
The Council's Employee Benefits Group offers five dental programs
designed to improve the quality, delivery and affordability of dental care. |
OptiChoice Vision
|
The OptiChoice Vision program is a managed vision
preferred provider program that offers managed care cost-savings and quality. |
Vision Benefits of America
more information… |
The Vision Benefits of America (VBA) program is a
managed vision preferred provider program. The Council's Employee Benefits Group
offers two VBA plans. |
Group Basic Life
|
The life insurance program offered by the Council's
Benefits Group combines risk protection with an array of unique plan design
features. |
Voluntary Supplemental Life
more information… |
Employees can purchase through payroll deduction, additional
life insurance coverage for themselves, their spouse and dependent
children. Program is available to employers with 10 or more employees. |
Group Short Term Disability
|
The short term disability program provides protection
against short-term loss of income due to injury or illness. The Council's
Benefits Group offers three options for employers to provide coverage to
employees at low group rates. |
Group Long Term Disability
|
The long term disability program provides income
replacement coverage to employees and includes coverage for Accidental Death &
Dismemberment (AD&D). The Council's Employee Benefits Group offers three options for
employers to provide coverage to employees at low group rates. |
Group Long Term Care
more information… |
Group long term care insurance is designed to preserve
assets and an individual’s lifestyle in the event of an extended illness or
injury that requires costly long-term care. |
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Eligibility Requirements
Employers
To participate in the Pittsburgh Technology Council Employee Benefits program,
you must be a member of the Pittsburgh Technology Council (PTC). For more information
on joining the PTC and being part of an association that is redefining southwestern
Pennsylvania, please contact the Pittsburgh Technology Council.
Employees
All employees working 30 hours or more a week are eligible. Please
note that seasonal employees or casual employees are not eligible.
Exceptions are considered for employees being paid by commission and receiving Form 1099.
Dependents
All unmarried legal dependents are eligible for coverage under an insured's plan. Unmarried children are covered to age 19. A
dependant who is a full-time student may remain on the coverage until age 25.
Retirees
An employee who retires may continue to be covered as long as the contributing employer is a member of the Pittsburgh Technology Council.
Employees Over Age 65
Any employee age 65 or older working more than 21 hours per week should remain on the group's plan. Employees with Medicare Part A and B working
less than 21 hours per week and retirees should enroll in the 65-Special Program instead.
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Participation Requirements
The following participation requirements apply to all PTC member firms.
| Eligible Employees |
% of eligible employees who must enroll |
| 2-4 |
100% |
| 5-15 |
One fewer than 100% |
| 16-50 |
80% |
Contact Us
If you have any questions about your benefit options, rates, eligibility or participation requirements, or
if you wish to learn more about our products and services, you can:
- Call us at 1-800-517-5128 during regular business hours, 8:30 a.m. - 5:30 p.m., Eastern Standard
Time; we'll be glad to help you.
- Complete our information request form online.
We will contact you within 24 hours with detailed information on this
flexible and affordable insurance coverage.
back to top This information is not intended for use without professional advice. While we have attempted to make this site as accurate as possible, it is only a summary. For more information, see our disclaimer. 
Last updated on: Friday, September 12, 2008 Page:
Copyright © 2003 Pittsburgh Technology Council.
All Rights Reserved.
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