Unified Fire Authority
Contact Information
If you have specific questions about any of the benefit plans, please contact the administrator listed below, or your local Human Resources department.
Benefit Administrator Phone Website
Medical SelectHealth 800.538.5038 www. selecthealth. org Dental SelectHealth 800.538.5038 www. selecthealth. org Vision EyeMed 888.581.3648 www. eyemedvisioncare. com Life and AD & D Insurance PEHP 801.366.7555 www. pehp. org Tier 1 Retirement for Firefighters URS 801.366.7770 www. urs. org
Long-Term Disability( Tier 2 / Civilians Only)
PEHP 801.366.7555 www. pehp. org
Health Reimbursement Account( HRA) APA Benefits 801.561.4980 www. apabenefits. com Flexible Spending Account( FSA) APA Benefits 801.561.4980 www. apabenefits. com Critical Illness / Hospital Indemnity Aflac 800.992.3522 www. aflac. com Identity Theft / Cyber Protection Allstate Identity Protection 800.789.2720 www. allstateidentityprotection. com VEBA VEBA 801.336.7770 https:// ufaveba. com URS URS 801.366.7770 www. urs. org
Human Resources Unified Fire Authority
Monthly Contributions for Benefits
Medical
Calogero Ricotta Sylvia Cardenas Kiley Day Katherine Petersen
801.743.7125 801.743.7231 801.743.7124 801.743.7210 cricotta @ unifiedfire. org scardenas @ unifiedfire. org kday @ unifiedfire. org kpetersen @ unifiedfire. org
Benefit Plan Total Premium Employee Contribution Employer Contribution
SelectHealth Med Network Employee $ 564.80 $ 112.96 $ 451.84 Employee + One $ 1,242.90 $ 248.58 $ 994.32 Family $ 1,695.10 $ 339.02 $ 1,356.08 SelectHealth Care Network Employee $ 580.10 $ 128.26 $ 451.84 Employee + One $ 1,276.50 $ 282.18 $ 994.32 Family $ 1,740.30 $ 384.22 $ 1,356.08
Dental
Employee $ 51.00 $ 10.20 $ 40.80 Employee + One $ 69.60 $ 13.92 $ 55.68 Family $ 105.40 $ 21.08 $ 84.32
Vision
Employee $ 6.03 $ 6.03 $ 0 Employee + Spouse $ 11.45 $ 11.45 $ 0 Employee + Children $ 12.05 $ 12.05 $ 0 Family $ 17.71 $ 17.71 $ 0
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