Open Enrollment

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FSA Open Enroll


 

What.....When.....How?   

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The opportunity for benefit eligible employees to make changes  to their current health elections each Fiscal Year.  (If you are on a leave of absence during open enrollment, you may not make open enrollment changes until your return to work.)

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Occurs every April and changes are effective July 1 of the next Fiscal Year.

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Attend the Open Enrollment sessions at a college location and complete benefit forms to change your health elections.

 

If you do not make any changes, all current coverage elections will stay the same for FY2009-10.  Open Enrollment is from April 1 - April 30, 2009.  After Open Enrollment ends any changes made to your benefit elections must be due to a "Change in Family Status". 

 

All benefit eligible employees must complete the Coordination of Benefits form in their open enrollment packets even if changes are not being made.

 


 

FY 2009-10 O.E. Schedule        Premium Rates/Flex Credits FY 2009-10        What's New FY2009-10 (PDF)

 

Open Enrollment Deadlines - Benefit Elections

bullet April 30, 2009 -- Open Enrollment changes
bullet April 30, 2009 -- Faculty Pay Cycle Change
bullet April 30, 2009 -- Compassionate Leave Donation
bullet April 30, 2009 -- Coordination of Benefits Form
bullet  May 15, 2009 -- Waiver Form

 

Documentation needed for all Insurance changes! 

Please bring all dependent information with you when you change your benefits.

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Documentation must be provided if you wish to add a dependent (spouse, child, or partner) to your health coverage.  (See 'What's New FY2009-10' for specific details.)

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Social Security Numbers are required for all covered dependents due to the requirements of the implementation of Medicare Secondary Payer Mandatory Reporting Provisions in Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007.  Mandatory SS# Reporting Provisions - pdf

 

On-Line Self Service Options

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Short-Term Disability (STD) Increase - Increase your coverage level by one step on-line through self service.

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Faculty Pay Cycle Change - (Q's & A's, Scenario Worksheet) - Change your pay cycle on-line through self service and avoid filling out a form.

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Compassionate Leave Donation - Donate to the Compassionate Leave Fund on-line through self service, no form needed.

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Benefit Confirmation Statement - Verify your benefit elections on-line through self service.

    Benefits Self Service -- HRMS Support       Employee Self Service Access


FY 2009-10 Plan Year Changes to Benefits

Medical - There are no plan changes to the Core and Buy-Up plans this year.  Rates have increased.  Core/Buy-Up Comparison Chart

MetLife Dental - There are no plan changes this year.  Rates have increased.  Dental Comparison Chart

Assurant Dental - There are no plan changes this year.  Dental Comparison Chart

Life Insurance - There are no plan changes this year.

Short-Term Disability - There are no plan changes this year.

Arizona State Retirement System (ASRS) - ASRS has decreased the contribution rate for FY09-10.  The new contribution rate will be 9.40%.  This will include 9.00% for pension contributions and .40% for LTD contributions.

Medical Waiver Form FY2009-10

    Employee's currently on a Waiver:

All Waivers must be re-submitted each fiscal year.  Exception can not be made.

Failure to provide a new waiver each Fiscal Year will result in the loss of the waiver.  The employee will be enrolled in Employee Only Core medical coverage effective July 1st of the new Fiscal Year.

Please keep a copy of the completed waiver for your records before sending it to the Benefit Office.  When the waiver arrives in the Benefit Office, a written confirmation verifying receipt will be sent to the employee. 

If confirmation is not received by May 1, 2009, please call the Compensation Office at (480) 731-8415.  May 15 is the deadline to submit a Medical Waiver for FY 2009-10.

    Submitting a Waiver for the First Time:

You must attend an Open Enrollment session to submit a waiver for the first time.  Multiple forms must be completed.

 


Last modified: July 28, 2009

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