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Open Enrollment Checklist

Open Enrollment:  November 9 - 20

All benefit elections made during Open Enrollment will be effective January 1, 2016.

Attend one of the Open Enrollment information sessions or webinars or contact if you have any questions.
Complete the online open enrollment at One.IU.
  1. Authenticate to Benefits at
  2. Click on the Open Enrollment button under Benefit Actions.
  3. Click Select on the Benefits Enrollment Screen to get started.
  4. Enter benefit selections for each plan using the online form.
  5. Click Submit after making all applicable changes to your 2016 benefits to send your selections to University Human Resources.
  6. Check your IU email account for confirmation of the benefits you selected for 2016.
  7. Review your confirmation email carefully. Verify your 2016 elections and make any necessary changes online before the Open Enrollment deadline.
  8. Be sure to logout when you have submitted your elections.
Review medical and dental selections. You can add, change, or drop medical and dental coverage as well as dependents.
Complete the Tobacco-free Affidavit, if applicable. Even if you are not changing medical coverage, you must re-enroll in this benefit each year. The affidavit can be found at the bottom of the medical page of the online open enrollment form.
Complete the TSB Healthcare and/or Dependent Care section, if applicable. You must re-enroll in this benefit each year.
Review your Personal Accident Insurance elections. You can add, change or drop coverage.
Submit your elections. Until you click ‘Submit’, your elections will not be registered for 2016.
Check your IU email account for confirmation of selections.
Log out, especially if you were on a public computer.
Note: You can change and resubmit your enrollment elections as many times as you need to until the end of Open Enrollment on November 20th. With each submission you will receive a new email notice confirming your benefit elections. Please review each notice. Changes to your benefit elections cannot be made after the close of Open Enrollment.

After completing enrollment:
If you are adding a dependent for the first time be sure to turn in required dependent eligibility documents.
In January, complete the TSB direct deposit form(s) and the HSA beneficiary information at




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