All Changes and Enrollments During This Period Will Become

Annual Open Enrollment

October 23th – November 17h

All changes and enrollments during this period will become

effective January 1, 2018.

Forms must be received in the Human Resources Benefits Office
on or by November 17th

HEALTH, DENTAL, and VISION COVERAGES: Now is the time for benefit-eligible employees to enroll or make desired changes to their current insurance plans. Eligible dependents can be added (with required documentation) by completing the Employee Application-Change Form.
*If you don’t make any changes to your health/dental/vision plan(s), your current insurance plan elections will rollover into 2018 unless you are waiving coverage.
WAIVING COVERAGE: Benefit-eligible employees that elect to waive health, dental, and/or vision coverage for 2018 must complete Section C of the Employee Application-Change Form indicating the plan(s) you are waiving coverage for in 2018.
COORDINATION OF BENEFITS: All employees with a spouse with primary coverage under the University’s plan will need to recertify their coverage. Spouse Certification Form

*Re-certification is not necessary if your spouse/partner works at YSU and is covered under the University’s plan.
FLEXSAVE: Flexible Saving accounts provide an opportunity to reduce your taxes and increase your take-home pay. You must re-enroll for Medical and Dependent Daycare accounts each plan year by submitting a FlexSave Enrollment Form
IRS mandates that the maximum contribution cannot exceed $2,600 for medical health/dental/vision care and $5,000 for dependent child care or elder care. FlexSave accounts can be used for out of pocket expenses related to health care services that may not be covered by your health plan and dependent care or elder care. There is an administrative fee of $66.50 for enrolling, which is deducted through payroll.
VOLUNTARY LIFE INSURANCE: We will also be conducting a Voluntary Life Open Enrollment for employees, spouses and children. This is an opportunity to purchase additional life insurance at specified amounts. SunLife Voluntary Coverage

UPDATE YOUR BENEFICIARY: We highly recommend updating your beneficiary information for both the employer paid life insurance and/or voluntary life insurance. Life Beneficiary Form

To learn more about the health coverage options and flexible saving plans, representatives will be available to assist you as noted below:

Kilcawley – Bresnahan 1 & 2 - Wednesday, October 25th 11:30-12:30 and 2-3 pm
PNC will be presenting Wednesday, October 25th
Kilcawley – Bresnahan 1 & 2 - Tuesday, October 31st 11:30-12:30 and 2-3 pm
Kilcawley – Bresnahan 1 & 2 - Wednesday, November 8th 11:30-12:30 and 2-3 pm

To learn more about the voluntary life insurance plans, representatives will be available to assist you as noted below:

Kilcawley – Bresnahan 1 & 2 – Monday, November 6th 11:30-12:30 and 2-3 pm
Kilcawley – Bresnahan 1 & 2 – Tuesday, November 9th 11:30-12:30 and 2-3 pm

QUICKLINKS TO FORMS FOR 2018 OPEN ENROLLMENT

Make any changes to Medical/Rx, Dental and/or Vision plans OR Waive insurance / Employee Application-Change Form
Complete COB for spouse and domestic partners with primary coverage / Spouse Certification Form
Enroll in Flex Save / FlexSave Enrollment Form
Enroll in Voluntary Life Insurance / SunLife Voluntary Coverage
Update beneficiaries on life insurance policies (Employer paid and/or voluntary) / Life Beneficiary Form

Alisha Yanniello x2363
Linda Mazzocco x3748
Forms must be received in the Human Resources Benefits Office in Tod Hall, Room 312 on or before November 17th, 2017. You may also send forms through the Office of Human Resources secure document upload (please use “Open Enrollment” in the subject line). FOR SECURITY PURPOSES, NO FORMS SHOULD BE SENT VIA EMAIL!