Benefits Enrollment


Our Cigna medical plans have several changes, including a new PPO option. We are also adding three Kaiser Permanente medical options for California residents. (These are in addition to the Cigna options available to all associates.) If you enroll in an Allscripts medical option for 2023, you will receive a new ID card.

Cigna medical plan changes

  • The Cigna HRA Value plan will end on Dec. 31, 2022. Important: If you are currently enrolled in the Cigna HRA Value plan and choose the Cigna HRA plan for 2023, your unused HRA funds will roll over to the new plan. However, if you are currently enrolled in the Cigna HRA Value plan and enroll in the Cigna HSA plan or the Cigna PPO plan—or you do not enroll in any medical plan—you will have until June 30, 2023 (180 days), to submit claims for eligible medical expenses incurred in 2022. Any unused funds in your HRA after this date will be forfeited.
  • The Cigna HRA Plus and HSA Base plans will have a few changes to plan features—as well as new plan names: Cigna HRA and Cigna HSA plans.
  • We are introducing a new Cigna PPO plan as our third medical option. The PPO plan will have copays (instead of coinsurance) for network office visits (primary care and specialists), urgent care and emergency room care.
  • Medical rates are increasing due to actual medical and prescription drug claims experience.
  • New ID cards. Because of plan changes and active enrollment, you will receive a new medical ID card if you enroll in one of the medical options.
  • Allscripts contributions. Allscripts contributions to the HRA will not change. HSA contributions will decrease this year.
  • The prescription drug program will change to the Cigna National Preferred Formulary program.

Kaiser Permanente

  • Kaiser Permanente will offer three new medical options for California residents: Kaiser HMO, Kaiser HRA and Kaiser HSA. These plans are in addition to the Cigna medical plan options.

NEW! Tobacco surcharge

If you enroll in an Allscripts medical plan and you currently use tobacco products (or have used tobacco within the last six months), you will pay a tobacco surcharge of $50 per month ($25 per paycheck) in addition to your regular medical premium.

You may be eligible to have the surcharge stopped if you enroll in and successfully complete one of our medical providers’ tobacco cessation programs:

  • Cigna Tobacco Cessation program lets you talk confidentially with a health coach to create a quit plan and get nicotine replacement therapy at no additional cost to you. To learn about the Cigna tobacco cessation programs, call the number on the back of your ID Card or visit
  • Kaiser Permanent’s Quit Smoking program offers a variety of options to help you stop smoking and kick tobacco use. Visit for details and more information.

NEW! COVID vaccination surcharge

If you enroll in an Allscripts medical plan and you have not been vaccinated for COVID, you will pay a COVID vaccination surcharge of $10 per month ($5 per paycheck). Please refer to the “US COVID-19 Vaccination Policy” available on the Policies intranet page.

If you are vaccinated but haven’t entered your vaccination status in Oracle, please do so as soon as possible to avoid the surcharge.

Medical plan options

Health Accounts

If you enroll in one of the Allscripts HRA plans this year, you will receive Allscripts contributions during the year.

If you enroll in the Cigna HSA Plan or the Kaiser HSA Plan you can participate in a health saving account (HSA).

  • You can contribute more in 2023. IRS maximum contribution limits are increasing to $3,850 for associate only and $7,750 for family. (These are increases of $200 and $450). These maximum limits include your contribution and Allscripts contributions combined.
  • Allscripts contributions.
  • If you’re age 55 or older, you can contribute an additional $1,000 in catch-up contributions each year.

Health Account Contributions


The Virgin Pulse program will end on Dec. 31, 2022. Until then, you can continue to use the platform and resources.

  • All eligible associates will still be able to earn Pulse Cash through Virgin Pulse through Dec. 31, 2022, so keep stepping and earning those points!
  • If you enroll in an Allscripts medical plan for 2023 you will no longer need to earn the All Well credit; everyone’s premium will include the discount.
  • You will continue to have access to your Virgin Pulse account for 30 days after the program ends to redeem any earned Pulse Cash.

Allscripts is committed to your physical, emotional and financial well-being and will be introducing new benefits and resources in 2023. Stay tuned!

Flexible spending accounts

For 2023, the IRS is increasing the maximum limit for contributions to the general purpose and limited purpose heath care FSAs to $3,050 (currently) $2,850.

All Care Benefits Service Center will replace WEX as our flexible spending account (FSA) administrator in 2023 for the general purpose healthcare FSA, limited purpose healthcare FSA, and dependent care FSA. These accounts will be called MyChoice™ accounts.

WEX will continue to administer our accounts through Dec. 31, 2022. If you have unused funds in your account at that time, you have until March 31, 2023, to file a claim for any 2022 eligible expenses.

Flexible Spending Accounts

Voluntary insurance plans

If you are currently enrolled in critical illness, hospital indemnity and/or accident insurance, your current elections will not roll over for 2023; you must re-enroll to continue participation.

  • Aetna will replace Aflac as administrator for these voluntary insurance plans.
  • Special one-time enrollment opportunity! All of these plans will be “guaranteed issue” for you and your family which means you are guaranteed acceptance with no medical questions asked when you enroll during this year’s open enrollment. Each of these plans offer enhanced benefits and better pricing.

Voluntary insurance

Legal plan

The MetLife legal plan’s covered services will be enhanced, including adding divorce as a covered service.

Legal plan

Retirement Savings Plan

Starting in January, you will automatically be enrolled in the Allscripts Retirement Savings Plan at 4% of your annual salary, unless you are already enrolled at a higher amount.

Increased IRS maximum contribution limits for 2023!

  • You will be able to contribute up to $22,500 in 2023 (currently $20,500).
  • If you are age 50 or older, you can make additional catch-up contributions of up to $7,500 (currently $6,500).

You can change your contributions to a higher or lower amount at any time during the year.

Retirement Savings Plan

Dental and Vision

There are no plan design or rate changes for 2023.



Need help choosing your medical plan?

Take advantage of the Cigna Easy ChoiceSM  tool to help you compare and review your Cigna 2023 medical plan choices.

Update your beneficiaries

Benefits Open Enrollment is a good time to review your beneficiaries for specific benefit plans, such as the life and AD&D insurance plans and the Retirement Savings Plan.

You can update your beneficiaries any time by logging in to (for your life insurance and AD&D) and (for your retirement plan).

1. Read the materials

1. Read the materials

Read all the Open Enrollment materials, including:

2. Watch the 2023 open enrollment presentation

2. Watch the 2023 open enrollment presentation

Watch the 2023 open enrollment presentation

Be sure to watch this presentation to find out what’s new, changing or staying the same for 2023. When open enrollment begins, this presentation will be available in the Allscripts Learning Center. COMING SOON!

The presentation will also be available on the login page of our enrollment system.

3. Make your decisions

3. Make your decisions

Decide which benefits you need for 2023.

Health Advocate can help you compare plans and answer your questions.

You can also use the Cigna Easy Choice Tool to help you compare and review your Cigna medical plan choices.

4. Enroll for benefits

4. Enroll for benefits

Enroll during Open Enrollment from Oct. 31 through Nov. 14.

Enroll for 2023 Benefits

Learn more about how to enroll >

Who is eligible

Who is eligible


If you are a full-time or part-time associate regularly working at least 24 hours per week, you are eligible for coverage in Allscripts Health and Welfare benefit plans.

Your dependents

Your dependents who are eligible for coverage include your:

  • Legal spouse or domestic partner.
  • Dependent children up to age 26 (or older, if your child is permanently and totally disabled).

Important notes:

  • When covering a domestic partner, contributions for your domestic partner will be deducted on a post-tax basis. You will also pay taxes on the imputed income on the portion of benefits paid for by Allscripts for your domestic partner to be covered.
  • Have your dependents’ Social Security numbers (SSNs) on hand when enrolling them in benefits. U.S. health care reform requires SSNs to be reported to the IRS for each covered individual.
  • If you add a dependent to your health insurance coverage who does not qualify as a tax dependent under the Internal Revenue Code Section 152 and Notice 2010-38 (such as a domestic partner), the Fair Market Value (FMV) of Allscripts contribution toward that coverage is considered a taxable fringe benefit, subject to tax withholding. This calculated fringe benefit is known as imputed income.
When to enroll

When to enroll

You are eligible to enroll in Allscripts benefits:

  • During the open enrollment period every fall.
    Your new elections made during this enrollment period will be effective on Jan. 1 of the following year
  • If you are a new hire or newly eligible.
    You have 31 days from your first day of eligibility to enroll.
  • If you have a qualifying life event.
    You have 31 days from the day of your qualifying life event to make elections.
How to enroll

How to enroll

To enroll, log into the Allscripts benefits enrollment system, then follow the steps below.

If you are already registered:

  1. Enter your user name and password. (If you can’t remember one or both, click on Forgot your user name or password?).
  2. Once you are in the Allscripts benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

If you are not registered:

  1. Enter your Social Security number or Employee ID, Company Key and Date of Birth. Company Key is: MDRX in all uppercase letters.
  2. Create your user name and password. (Make a note of your user name and password for future use.) Select your security phrase and answer. Click Continue.
  3. Log in with the new user name and password you just created in step 2. Read the Electronic Signature notification and click Accept to move forward.
  4. Once you are in the Allscripts benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

Confirmation reminder!

Until you have received a confirmation number from the Allscripts benefits enrollment system, your benefit enrollment or change request has not been processed. Please make sure to print your confirmation number for future reference.

Qualifying life events during the plan year

Qualifying life events during the plan year

Life event changes must be made within 31 days of the event.

Federal regulations issued by the Internal Revenue Service do not allow you to change benefit options or make new elections during the year unless you have a qualifying life event.

Qualifying life events include:

  • Marriage, divorce, legal separation or change in domestic partner relationship.
  • Birth, adoption or change in legal custody of a child.
  • Death of a spouse or child.
  • Change in employment status that results in a loss or gain of benefits, such as beginning or ending employment, change in hours that affect benefit eligibility, or an unpaid leave of absence.
  • Change in dependent status of a child.
  • Significant change in spouse’s premium contributions.
  • Entitlement to Medicare, Medicaid or another insurance plan.
  • Change in spouse’s benefit elections.

All changes must be made within 31 days of the event. To report a life event change, go to and click on Start Here and then select Life Event Change. You will be required to provide documentation verifying your life event within 31 days of your request.