At Niagara, our goal is to provide greater access to care no matter where you or
your family may live, and in 2024, we are expanding your access to quality health
care outside of your local hometown.
A Primary Care Physician (PCP) is your main doctor during non-emergency
situations. Building a relationship with a PCP while you’re healthy is important
for your long-term health and wellbeing. You still have the option to choose any
doctor you want and you choose your specialists. With Teladoc Virtual PCPs
(VPCP), you have more in-network doctors to choose from.
If you already have a trusted relationship with a doctor, keep them! If you need
help finding a new PCP and have mobility or time concerns, consider VPCP.
Starting in 2024, you’ll be able to choose your PCP virtually through
Teladoc. Choose a board-certified PCP who’s right for you, and they’ll guide
you the rest of the way.
2024 Only: 3 free scheduled visits, then $30 copay regardless of medical plan
While establishing a Primary Care Provider is
important, we understand that sometimes access
to care is urgent.
Through Teladoc’s 24/7 Urgent Care, you and your
family may receive care immediately when the
time calls for it. Teladoc 24/7 Urgent Care provides
around-the-clock access to medical care by phone
or video consultations, in all 50 U.S. states.
Typically, you can expect a call within one hour of
your appointment request and receive care without
leaving the comfort of your home. Teladoc doctors
can diagnose and treat many common health issues,
including cold and flu symptoms, pink eye, eczema,
and more.
2024 Only: $30 copay regardless of medical plan
Get access to exclusive LA Fitness Membership
pricing with Niagara.
Learn more →
WorkingAdvantage Discounts
→
Company Code: 973455836
Enterprise Car Discount
→
National Car
Discount→
AT&T Discount →
Verizon Discount →
Microsoft Discount
→
Hearing & Vision Discount →
Rocket Mortgage Buy + Sell
→
Rocket Mortgage One+
→
Learning Care Group Daycare Services →
We are committed to supporting our valued Team Members and their families. Niagara is boosting our HSA Match contributions to $500 (Individual) / $1,000 (Family), providing you with additional dollars for eligible healthcare costs like office visits, prescription drug copay, dental and vision expenses, and so much more.
You’ll earn $0.50 on every $1 you set aside in your HSA up to the Maximum Niagara Match.
HSA Match & IRS Limits | Maximum Niagara Match (Within IRS Contribution Amount) |
Annual IRS Contribution Limit | Your Niagara Contribution Limit (IRS Limit - Match) |
---|---|---|---|
Individual | $500 | $4,300 | $3,800 |
Family | $1,000 | $8,550 | $7,550 |
Cigna, Delta, and VSP remain the same for 2025 including the same deductibles
and Out of Pocket Maximum limits.
However, our insurance premiums are
increasing. Just because your plan options are the same, doesn’t mean you and
your family’s coverage needs are the same.
Spend time with ALEX this Open
Enrollment to ensure you have the best plans for 2025.
Long-Term Disability (LTD) insurance provides financial protection by replacing a portion of your income after after 90 days of Short-term Disability.
Niagara continues to offer the 60% income replacement LTD plan, however, premium costs are increasing.
Due to this increase in costs, we are adding an alternative, lower cost LTD plan, covering 50% income replacement,
at nearly the same or lower cost than the current plan.
If you are currently enrolled, your election in the 60% LTD plan will carryover to 2025. If you wish to lower your
costs, choose the 50% option during Open Enrollment.
You will need to provide EOI if:
✓ You are a new enrollee to either plan.
✓ You choose to increase coverage in the future (50% to 60%).
Due to the rising costs of prescription drugs, we’re making a few changes to pharmacy benefit copays and maximums. We understand that any change can be challenging, but these adjustments help us continue to offer the highest level of care for you and your family.
Pharmacy Benefit Changes* | Cigna HSA | Cigna PPO | Cigna PPO High |
---|---|---|---|
Non-Preferred Brand Tier | $60 after deductible; $120 after deductible (mail order) | $60 after deductible; $120 after deductible (mail order) | $60; $120 (mail order) |
Specialty Tier | 20% ($150 maximum) after deductible | 20% ($150 maximum) after deductible | 20% ($150 maximum) |
Prime Therapeutics has recently acquired MagellanRx.
The information on the back of your Cigna ID card and your current pharmacy has not changed.
Team Members and Spouses/Partners covered by a Niagara Medical plan will voluntarily participate in Wellness Activities to earn
rewards and to avoid Wellness Surcharges. Please review the changes to our 2025 Wellness Surcharges. Here are the requirements
and deadlines for each activity:
*Schedule your Annual Wellness
Visits with your in-network personal
doctor or through Teladoc’s Virtual
Primary Care. When requesting an
appointment, your appointment
request type is important.
Please indicate you are scheduling an
annual preventive Wellness Visit or a
Routine Annual Physical.
*Annual Wellness Visits completed
while enrolled in a Niagara Cigna
medical plan on or after 11/16/23 through the deadline of 2/28/25 will be automatically processed. No action required.
Rising costs due to inflation and market dynamics have impacted many aspects of our lives, including healthcare. Medical insurance premiums will see an increase across all plans, but dental and vision remain the same.
Medical Plans | Cigna HSA | Cigna PPO | Cigna PPO High |
---|---|---|---|
Team Member Only Team Member + Spouse Team Member + Child(ren) Family |
$36.00 $144.00 $70.00 $180.00 |
$74.00 $201.00 $138.00 $258.00 |
$102.00 $254.00 $191.00 $330.00 |
Dental Plans | PPO Low | PPO High |
---|---|---|
Team Member Only Team Member + Spouse Team Member + Child(ren) Family |
$5.00 $12.00 $14.00 $21.00 |
$15.00 $30.00 $34.00 $51.00 |
Vision Plans | VSP Low | VSP High |
---|---|---|
Team Member Only Team Member + Spouse Team Member + Child(ren) Family |
$2.76 $5.50 $5.89 $9.40 |
$4.57 $9.15 $9.83 $15.63 |
Rising costs due to inflation and market dynamics have impacted many aspects of our lives, including healthcare. Medical insurance premiums will see an increase across all plans, but dental and vision remain the same.
$1,750 (I) / $3,500 (F)
$5,000 (I) / $10,000 (F)
You will earn $0.50 on every $1 you set aside to a maximum Niagara Match of $250 Individual and $500 Family.
Team Member Only: $36.00
Team Member + Spouse: $144.00
Team Member + Child(ren): $70.00
Family: $180.00
Plan pays 100%
Plan pays 100%
Plan pays 100%
Plan pays 100%
You pay 20% after deductible
You pay 20% after deductible
You pay a $30 copay
1 Free Wellness Visit + 20% after deductible for non preventive
You pay 20% after deductible
You pay 20% after deductible
Medical + Pharmacy Deductible* $1,750 (I) /$3,500 (F)**
$0 copay
$15 after deductible; $30 after deductible (mail order)
$30 after deductible; $60 after deductible (mail order)
$60 after deductible; $120 after deductible (mail order)
20% ($150 maximum) after deductible
*For the Cigna HSA, all medical and prescription drug expenses apply to the Plan Deductible.
**Family deductible applies when you cover yourself plus one or more family members
At Niagara, our goal is to provide greater access to care no matter where you or your family may live.
With Teladoc VPCP, you have access to quality health care outside of your local hometown. If you are looking for convenient access to care, consider a Teladoc VPCP. You have the option to choose a board-certified PCP who’s right for you, and they’ll guide you the rest of the way.
While establishing a Primary Care Provider is
important, we understand that sometimes access
to care is urgent.
Through Teladoc’s 24/7 Urgent Care, you and your
family may receive care immediately when the
time calls for it. Teladoc 24/7 Urgent Care provides
around-the-clock access to medical care by phone
or video consultations, in all 50 U.S. states.
Typically, you can expect a call within one hour of
your appointment request and receive care without
leaving the comfort of your home. Teladoc doctors
can diagnose and treat many common health issues,
including cold and flu symptoms, pink eye, eczema,
and more.
Medicare
is available to individuals age 65 and older. You can
start the application process 3 months before the month in
which you turn
65.
You’ll
be able
to keep his current providers,
as
long as they are participating in the Medicare program. Medical
providers, suppliers and groups must enroll in the Medicare program to
be eligible for payments for Medicare-approved services. To
find out if your provider is participating, call you provider directly. Your
provider will fall into one of three categories:
Participating providers accept Medicare and always take assignment. Taking assignment means that the provider accepts Medicare’s approved amount for health care services as full payment.
Non-participating providers accept Medicare but do not agree to take assignment in all cases (they may on a case-by-case basis). This means that while non-participating providers have signed up to accept Medicare insurance, they do not accept Medicare’s approved amount for health care services as full payment.
Opt-out providers do not accept Medicare at all and have signed an agreement to be excluded from the Medicare program. This means they can charge whatever they want for services but must follow certain rules to do so.
After
confirming you provider’s status, you should start the application process and set
up your account with the Centers
for Medicare & Medicaid Services (CMS).
Once
you’re
ready to apply, you’ll need the
following information on hand, before you
begin
the online application process:
Date and Place of Birth If they were born outside the United States or its territories:
• Name of birth country at the time of their birth (it may have a different name now)
• Permanent Resident Card number (if they are not a U.S citizen)
Current Health Insurance
• Employment start and end dates for their current employer who provides them health insurance coverage through a Group Health Plan
• Start and end dates for the Group Health Insurance provided by their current employer
First you will need to create a my Social Security account if you don’t have one already at: https://www.ssa.gov/myaccount/ (This will allow you to check on your application and access your personal information).
Once
you have your account established, go
to: https://www.ssa.gov/benefits/medicare/ to
actually apply.
Once there, scroll down to
select the blue button “Apply for Medicare
Only" button
Apply and complete the
application (which normally takes 10 to 30 minutes).
Select “Submit Now”
to send your application electronically.
Print/Save your receipt /
confirmation page and application number.
(You
can always go back to your my Social Security account to check status with this
info)
After
enrollment, you will be
mailed a letter with the determination and how to proceed. The reprepresentatives
at
CMS will take you
through
the whole process from that point forward.
When can I apply?
You
can start the application process 3 months before the month you turn 65. This includes
the month you turn age 65 and ends three months after that birthday. Avoid enrolling
late, as it will make you subject to penalties (part-b-late-enrollment-penalty & part-a-late-enrollment-penalty).
Will I be able to keep my current providers?
You may be able to keep your current providers as long as they too are participating in the Medicare program. Medical providers, suppliers and groups must enroll in the Medicare program to be eligible for payments for Medicare-approved services. A suggested way to start-off would be by reaching out to each of your providers to ask them to confirm if they are enrolled. You may come to discover they will fall in to one of 3 categories of providers:
Participating providers accept Medicare and always take assignment. Taking assignment means that the provider accepts Medicare’s approved amount for health care services as full payment.
Non-participating providers accept Medicare but do not agree to take assignment in all cases (they may on a case-by-case basis). This means that while non-participating providers have signed up to accept Medicare insurance, they do not accept Medicare’s approved amount for health care services as full payment.
Opt-out providers do not accept Medicare at all and have signed an agreement to be excluded from the Medicare program. This means they can charge whatever they want for services but must follow certain rules to do so.
Once you've gone through the application process and the Centers for Medicare & Medicaid Services finalize your application / account, and it comes time to choose a plan and other options, CMS will be able to verify if the providers are participating or if you may have to search for new ones.
Where
can I find more detailed information about applying and how Medicare
works?
Please consider downloading and reading the useful digital guides provided (below?) before applying for Medicare.
How do I get started once I am eligible and ready to apply?
One you are ready to apply, you'll need the following information on hand, before you begin the online application process:
Date and Place of Birth If they were born outside the United States or its territories:
• Name of birth country at the time of their birth (it may have a different name now)
• Permanent Resident Card number (if they are not a U.S citizen)
Current Health Insurance
• Employment start and end dates for their current employer who provides them health insurance coverage through a Group Health Plan
• Start and end dates for the Group Health Insurance provided by their current employer
First
you'll have to create a my Social Security account if you don't have one
already at: https://www.ssa.gov/myaccount/ (this
will be the way you can check on your application and personal info and data, later as
well)
Then you'll need to go to: https://www.ssa.gov/benefits/medicare/ to
actually apply.
Once
there, scroll down to select the blue button “Apply for Medicare
Only" button
Apply and complete the application (which
normally takes 10 to 30 minutes).
Select “Submit Now” to send your
application electronically.
Print/Save your receipt / confirmation page and
application number.
(you can always go back to your my Social Security
account to check status with this info)
You'll eventually be mailed a letter with the determination and how to proceed. The reps at CMS will take you through the whole process from that point forward.
Preventive Services are covered at 100% as long as you seek services from an in-network
provider and your service is billed as routine/preventive. Both must be true for Cigna to
process the claim at 100%.
When you make an appointment, be clear that you’re seeking preventive services. Talk
with your physician during your appointment to ensure you are billed correctly. If they bill
with an existing or new diagnosis, you will be charged for an office visit.
If you receive a bill for any portion of your preventive exam or labs, contact the
Piper Jordan Claims Advocacy team for help!
Medical Services covered at 100%
(follows US Preventive Task Force) |
Generic Prescriptions covered at $0 Copay
(Prime Therapeutics Preventive Rx List) |
---|---|
Routine Annual Physical | Low dose statin medications (cholesterol) |
Well Woman Exams | Blood Pressure medications |
Well Child Exams | Tobacco Cessation medications |
Colon Screening | Oral contraceptives |
Breast Screening (including 3D mammogram & breast ultrasound) | Antiasthmatics (asthma treatment) |
Prostate Screening | Anticoagulants |
Labs (cholesterol, blood sugar, etc.) | Antihyperglycemics (diabetic medications) |
Preventive Dermatology | Antivirals |
Cigna
Due to the rising costs of prescription drugs, we’re making a few changes to pharmacy benefit copays and maximums. We understand that any change can be challenging, but these adjustments help us continue to offer the highest level of care for you and your family.
Pharmacy Benefit Changes* | Cigna HSA | Cigna PPO | Cigna PPO High |
---|---|---|---|
Non-Preferred Brand Tier | $60 after deductible; $120 after deductible (mail order) | $60 after deductible; $120 after deductible (mail order) | $60; $120 (mail order) |
Specialty Tier | 20% ($150 maximum) after deductible | 20% ($150 maximum) after deductible | 20% ($150 maximum) |
Prime Therapeutics has recently acquired MagellanRx.
The information on the back of your Cigna ID card and your current pharmacy has not changed.
Medical + Pharmacy Deductible* $1,750 (I) /$3,500 (F)**
$0 copay
$15 after deductible; $30 after deductible (mail order)
$30 after deductible; $60 after deductible (mail order)
$60 after deductible; $120 after deductible (mail order)
20% ($150 maximum) after deductible
*For the Cigna HSA, all medical and prescription drug expenses apply to the Plan Deductible.
**Family deductible applies when you cover yourself plus one or more family members
Your pharmacy benefit is included on your
new Cigna ID Card.
Just present your new Cigna ID card along
with your medication prescription to
any of the 35,000+ retail pharmacies in
Prime Therapeutics’s network every time you fill
your prescription.
Coverage for your 90-day supply of
prescription drugs is available at all
pharmacies except Walgreens. You can
also receive these prescriptions through
the Mail Order program.
Use Generic Preventive Medication for treatment of Asthma, Diabetes, High Blood Pressure, High Cholesterol, Contraceptives and More.
To view a list of these medications, click here.
Prime Therapeutics
Delta Dental
$50(I) / $150(F)
$1,750/person
Team Member Only: $5.00
Team Member + Spouse: $12.00
Team Member + Child(ren): $14.00
Family: $21.00
None
3
You pay 20%
You pay 50%
Plan pays 50% for dependent children up to age 26
Up to $1,000/person
$15 exam; $25 materials; Exam once every calendar year
$10 copay
Covered in full after copay
Team Member Only: $2.76
Team Member + Spouse: $5.50
Team Member + Child(ren): $5.89
Family: $9.40
Covered in full after copay; Once every calendar year
Covered in full up to the retail allowance of $130; Once every 24 months
Up to $60 copay
$125 allowance; Once every Calendar Year
Covered up to $130
VSP Vision Care
Life/AD&D - Unum
Long-Term Disability - Unum
A health savings account (HSA) is a medical savings account that
allows you to use pre-tax
contributions from your paycheck to cover eligible health care expenses,
tax-free.
You’ll earn a $0.50 Niagara HSA match on every $1 you set aside in your HSA up
to a maximum
match of $500 individual / $1,000 family.
Individual: 4,300 | Family: 8,550
Individual: $500 | Family: 1,000
HSA - Fidelity
The Niagara 401(k) Retirement Plan through Fidelity Investments helps you
save for a secure and well-funded future through pre-tax or after-tax (Roth)
contributions and a company match. You are eligible to participate in the
401(k) plan on the first of the month after 30 days of active, full-time
employment, as long as you are at least 18 years of age. You can make
changes to your plan at any time during the year by visiting Fidelity's
website.
Niagara accepts roll overs from other qualified plans. Want to roll over
funds from a previous account? Contact Fidelity at 800-835-5097.
$23,500
$7,500*
*For Team Members turning age 60-63, the 2025 Catchup Limit is $11,250. Workday will automatically continue deductions until the limit is reached. Catch-up Contributions are 401k Match eligible.
Niagara matches $0.33 on every $1 up to 6% of your gross compensation starting first of the month following 30 days of service.
Niagara matches your pre-tax and Roth contributions starting first of the
month following 30 days of service.
You are required to contribute to the plan to receive the Niagara 401(k)
match.
Your matching contributions become vested after 1 year of employment. On your 1st anniversary, all past and future matching contributions become 100% vested.
Don’t forget, your personal contributions to the 401(k) are always 100%
vested!
Fidelity has offered self-paced videos to help support your Financial Wellness. From saving for your future, investing, creating a budget, and much more! View these bite-sized videos to help support your Financial Health.
View videos →
*We recommend using Google Chrome to view these videos
With this coverage, you can deliver peace of mind to your family in the event of your unexpected death.
✓ Receive up to 2x your annual salary up to a maximum of $250,000
✓ Living Benefit allows you to collect 80% of your policy while living in the event you are diagnosed with a terminal illness
✓ You may be able to keep coverage if you leave the company, retire or change the amount of hours you work
If you’re suddenly unable to earn a paycheck due to illness or an accident, short term disability insurance through your employer can replace a portion of your income during the initial weeks of your disability.
✓ Receive a portion of your salary for 25 weeks
✓ Off-the-job coverage
Long term disability insurance through your employer can provide a steady stream of income to help cover essential expenses during an extended illness or after a disabling accident.
✓ Offers additional coverage beyond your initial Short-Term disability coverage
MetLife
With Lyra, your members receive support beyond 1-1 sessions with their provider, as they build and practice resiliency skills to meet the challenges of their daily lives. With 24/7 access to personalized digital exercises and direct messaging with their provider, members get better faster.
Access up to 12 counseling sessions per year per person.
✓ Receive free counseling sessions with a licensed counselor
LA Fitness →
WorkingAdvantage Discounts
→
Company Code: 973455836
Enterprise & National Car
Discount→
Personal rental car scroll to the bottom
AT&T Discount →
Verizon Discount →
Microsoft Discount
→
Hearing & Vision Discount →
Rocket Mortgage Discount
→
Learning Care Group Daycare Services →
LegalShield offers Legal and Identity Theft voluntary benefits including unlimited legal
advice, letters, will preparation, living will, health care directive, traffic issues, trial
defense, IRS audit services, 24/7 emergency access and more.
Identity Theft includes: Credit Report, Daily Credit Monitoring, and more.
✓ Access to a network of attorneys
✓ Credit monitoring, reports & more
Download The Parking Spot app on Apple or Android and use Nia6485 as your "company code" during registration. This will give you access to the Niagara discounts.
✓ Discounts on airport parking for all Niagara team members
Benefit from and receive 20% off of our membership and 10 class packages. Only available in Orange County, CA.
Learn moreProgyny
Fidelity
Accident - Unum
Legal/Identity Theft - LegalShield
Pet Discount
Employee Discounts
Critical Illness - Chubb
Mental Well-being
This benefit
provides coverage for fertility preservation (egg or sperm freezing), which
allows you to
build a family when you’re ready.
Team Members have access to Enhanced Fertility benefits through Progyny. Up to 4 Smart Cycles™!
Other options include IVF Fresh Cycle, IVF Freeze-All, Frozen Embryo
Transfer,
Intrauterine Insemination, Timed Intercourse, and more!
Login now →
or call 844-470-1752 to sign up.
Sometimes starting a family through natural birth just isn't in the
cards. However, we've
teamed up with Progyny to offer an Adoption Assistance benefit to help
make starting your family a little bit easier.
Niagara offers a $10,000 Adoption, $10,000 Surrogacy, and $5,000 Doula Reimbursement benefit.
Login now →
or call 844-470-1752 to sign up.
Are you a Niagara road warrior and a
nursing mom? With Milk Stork, nursing
Niagara moms can travel for work with
confidence, knowing your baby is getting
all the proven benefits of your milk, by
shipping from anywhere in the world.
Login now →
Niagara cares about you! This partnership with Learning Care Group entitles you to an exclusive discount for ages 6 weeks old – 12 yrs old. Get 10% tuition savings + your first year registration waived!
Learning Care Group Daycare Services Information →
Team Members and participating Spouse/Domestic Partners covered by a Niagara
medical plan as of 1/1/2021 may voluntarily participate in the Hydrate Your
Health Program. For Team Members, your participation helps you avoid paying the
Wellness Surcharge, an additional medical premium beginning in May 2021. The
surcharge is $40 per paycheck for team members. There will not be a surcharge
for spouses in 2021, but spouses are encouraged to participate.
A wellness surcharge of $40/pay period will apply to Team Members if the
following actions are not taken by the deadlines:
Activity #1: PHQ | Activity #2: Biometric Screening OR Coaching | |||
---|---|---|---|---|
Activity | PHQ Online Questionnaire |
Option 1: Quest Patient Service Center Lab |
Option 2: At Home Self-Collection Test Kit |
Option 3: Complete 4 Wellness Coaching Sessions |
Deadline |
Complete between 12/15/2020 - 2/28/2021 |
Complete between 12/15/20 - 2/28/2021 |
Complete between 12/15/2020 - 5/4/2021 to avoid surcharges; complete by 9/30 to earn a refund |
Get immediate access to specialized professionals in counseling, social work, human services and psychology. You have access to the LifeWorks network of thousands of master’s level counselors and affiliates.
✓ Get support with financial and legal issues
✓ Receive 5 free appointments included in your Niagara benefits
✓ Enjoy hassle-free scheduling with LifeWork's easy-to-use app
Use this table to help you understand where to go for medical care based on your needs, from free nurse advice to emergency room visits.
It guides you on when to use services like online doctor visits, office appointments, urgent care,
or the ER, so you can choose the best and most cost-effective option for your situation.
LifeWorks
Compliance Notices