Open Enrollment for 2020 Benefits

Open Enrollment is your once-a-year opportunity to change your benefits coverage. Make sure your benefits coverage meets you and your family’s needs for 2020! The deadline for Open Enrollment is November 15, 2019.

The following links and presentation provide the forms and information you need to complete enrollment. If you have questions, please see your local HR representative or contact Member Services.

Open Enrollment Information

Enrollment flier

What's Changing for 2020

FSA flier

Summary of Benefits & Coverage (SBC) booklet

Annual Notices booklet

Forms

Benefit Election Form (log in to see your location's Benefit Election Form)

FSA Enrollment Form (also known as Salary Redirection Agreement [SRA])

Optional Life Insurance Worksheet

Life Insurance Calculator

Spousal Health Care Affidavit (required for everyone, even if you are single; form must be submitted for spouse to receive coverage) 

Other Health Plan Questionnaire

Veteran Status Form

Disability Form

Open Enrollment 2020 Presentation