Benefits Annual Enrollment
Open Enrollment for the 2019-2020 benefit plan year begins on May 22 and closes on June 7, 2019. Open Enrollment is your annual opportunity to review, enroll in or make changes to your health, dental, vision, life and disability benefits as well as flexible spending accounts, and to add or drop coverage for eligible dependents.
Benefit elections and changes cannot be made outside of the open enrollment period unless you experience a Qualified Life Event (QLE), such as a change in marital status, the birth or adoption of a child, a change in your spouse’s work status or coverage, etc.
Enrollment and change forms for all benefits are located below for you to print, complete and return to Human Resources. All changes must be completed and received in Human Resources by Friday, June 7, 2019.
If you wish to make no changes to your health, dental or voluntary plans, there is no action required. Your current elections will remain in effect. However, you must make a positive election to enroll or re-enroll in the flexible spending accounts (FSA) in every plan year.
We encourage you to review the benefit offerings and associated costs to ensure you are making the best choices for you and your family.
Videotaped Information Session (June 5, 2019)
- Benefits at a Glance
- Health Insurance Enrollment/Change Form
- Dental Insurance Enrollment/Change Form
- Flexible Spending Account Enrollment Form
- EyeMed Enrollment Form
- Mutual of Omaha Life Insurance Enrollment Form
- Employee Tobacco Affidavit