Open Enrollment for 2021 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 2021! The deadline for Open Enrollment is November 13, 2020.

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


Summary of Benefits & Coverage (SBC) booklet

Annual Notices booklet

Profit Sharing & Savings Plan (PSSP) Fee Disclosure

Profit Sharing & Savings Plan (PSSP): Automatic Contributions & Increases and Electronic Delivery of Statements


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) 

PSSP Beneficiary Designation Form (note: for Life Insurance beneficiary designation, use the Benefit Election Form provided above)

Open Enrollment 2021 Presentation