Pitt offers health and wellness plans, retirement savings plans, and COBRA coverage for faculty and staff, including step-by-step instructions on how to make changes to current Benefits coverage. Visit the Benefits Provisions page for plan summaries and additional information.
Health Insurance Portability and Accountability Act of 1996 (HIPAA) & Privacy Notice
In accordance with the Health Insurance Portability and Accountability Act of 1996, a group health plan such as the University's group health plan must give plan participants notice of their rights and the plan's legal duties with respect to protected health information (PHI) and how the plan may use and disclose PHI. At this time, we would like to remind you that you have a right to receive a copy of the privacy notice.
You may review the University of Pittsburgh’s Medical Plan Privacy Notice online or the privacy notice can also be obtained from the Office of Human Resources Benefits Department at 320 Craig Hall.
The plan also is required to protect PHI in electronic form (EPHI). The University has implemented reasonable and appropriate safeguards to protect the confidentiality, integrity, and availability of PHI and EPHI that it creates, receives, maintains, or transmits on behalf of the plan.
Children’s Health Insurance Program Reauthorization Act (CHIPRA)
CHIRPA requires employers offering group health plans to notify employees of their potential rights to receive premium assistance under a state’s Medicaid or CHIP program. CHIPRA has added two different rules that could benefit certain employees of the University. First CHIPRA added a new premium assistance program for participants who are eligible for a Medicaid or a state CHIP program. If you are such an individual and you are eligible for health coverage from the University but are unable to afford the premiums, the state CHIP program may help you pay for coverage under the University health plans. If you or your dependents are already enrolled in Medicaid or CHIP, you can contact your state Medicaid or CHIP office to find out if premium assistance is available. Second, CHIPRA has added two new qualified Status Change events. The Qualified Status Change events occur either when an eligible employee’s enrollment ends in Medicaid or a state’s CHIP program or when an eligible employee becomes eligible for the premium subsidy and can then enroll in the University’s coverage. If either of those two events occur, the employee must request coverage from the University within 60 days of the event.
Healthcare Reform Notice
The official Healthcare Reform Notice that was created by the federal government to be distributed to members of the University community announcing the availability of healthcare exchanges, now known as the Health Insurance Marketplace, was distributed to the University community on September 26, 2013 and the notice was most recently updated in June 2017.
On March 23, 2010 the Patient Protection and Affordable Care Act (ACA) was signed into law by President Obama. Effective October 1, 2013, the health care exchanges, known as the Health Insurance Marketplace became available to U.S. citizens. The formation of the Health Insurance Marketplace established certain responsibilities and legal mandates for employers like the University (Employer Mandate) and Individuals (Individual Mandate). The University’s medical/health insurance programs are in compliance with the legislation. Review the Marketplace Notice.
Summary of Benefits and Coverage
The University is required under the Health Care Reform Act to provide you with a Summary of Benefits and Coverage (SBC), an easy-to-understand summary about the health plan’s benefits and coverage. Find an SBC for each of the University's available medical plans and a glossary of health and medical terms.
Additional Medical Plan Notices