Open Enrollment
Open Enrollment 2023-24
Open Enrollment for the Nov. 1, 2023, to Oct. 31, 2024, plan year runs from September 11th through the 29th. Eligible employees can change their medical, dental, and life insurance elections during this time.
You will receive information materials in campus mail, but all information and forms are also available here on the Human Resources website. You can enter any election changes through Self-Service in BiONiC and then print and complete any needed carrier change forms from this page.
General Information
- Open Enrollment Memo
- Open Enrollment Guidebook (in Spanish)
- Rates
- Medical Plan Comparison
- Self-Service Enrollment Instructions
Forms
- Flexible Benefit Election Form
- Emergency Contact Form
- Independence Blue Cross Universal Enrollment Form
- Health Savings Account (HSA) Election Form and Health Equity Health Savings Account Application
- Delta Dental Enrollment/Change Form
- Lincoln Financial Life Insurance