Open Enrollment Checklist
Open Enrollment: November 11 - 22
Open Enrollment is your annual opportunity to change your benefit elections for the next year. IRS regulations require that your Open Enrollment benefit elections remain in place for the entire year unless you experience an IRS-defined Family Status Change. A change in status, such as marriage, divorce, or the birth of a child allows a corresponding change to your elections, but only within 30 days of the event.
All benefit elections made during Open Enrollment will be effective January 1, 2014.
|Click box to check, double-click to uncheck.|
|Review the open enrollment information. Consider any changes you wish to make.|
|Attend one of the Open Enrollment info sessions or webinars or contact if you have any questions.|
|Review your existing medical and dental benefit elections. If you need to change your elections, complete the online open enrollment form.|
|If enrolled in the HDHP & HSA plan, determine if you want to change your HSA contribution amount. You can elect the HDHP Medical plan and waive the HSA plan if you are not eligible to make contributions to an HSA. You can make your 2014 election during open enrollment, or at any time during the year.|
|Complete the Tobacco-free Affidavit if you are not a tobacco user or will not use tobacco during the upcoming year. Even if you are not changing medical coverage, you must re-enroll in this benefit each year. Find the affidavit on the medical page of the online open enrollment form.|
|Determine if you want to elect the TSB Health Care and/or Dependent Care Reimbursement Account(s). If yes, complete the TSB section of the online open enrollment form. 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. After making benefit selections online, be sure to submit them and receive the confirmation email with your 2014 elections. Until you click ‘Submit’, your elections will not be registered for 2014.|
|Carefully review your confirmation email to be sure you and your family members are enrolled in the selected benefits.|
|If you are adding a dependent for the first time be sure to turn in required dependent eligibility documents.|
|Make sure you have completed your open enrollment selections by Friday, November 22, 2013.|
Note: You can change and resubmit your enrollment elections as many times as you need to until the end of Open Enrollment on November 22nd. With each submission you will receive a new email notice confirming your benefit elections. Please review each notice. Changes to your benefit elections can not be made after the close of Open Enrollment.