Open Enrollment Forms 2021
Open Enrollment is Wednesday, October 20, 2021 through Wednesday, November 10, 2021.
Health Insurance Changes or Health Insurance Waiver
Please submit any insurance changes (benefits election form and insurance enrollment form) or health insurance waivers (with acceptable proof) to HR no later than Wednesday, November 10, 2021.
Flex Spending Account - Online Enrollment
If you would like a Flex Spending account for 2022 (1/1/22 – 12/31/22), please complete the appropriate enrollment form and submit to HR no later than Wednesday, November 10, 2021.
If you would like to get a BJs membership, please mail the enrollment form and check directly to BJs by Wednesday, November 10, 2021. The contact information is on the enrollment form.