Welcome to the 2018 Benefits Open Enrollment!

April 17, 2017 - May 15, 2017

The Statewide Office of Human Resources, in collaboration with our campus HR Directors, is pleased to present a new and exciting way to complete and submit your elections for Open Enrollment!  Below you will find helpful links to any questions you may have about Open Enrollment and our awesome new Open Enrollment forms, via Google Forms.  Say goodbye to the days of printing and faxing or scanning your election forms!  If you have any questions, please reach out to your local campus office.

During open enrollment, you can:

  Add or opt out of health plan coverage Enroll eligible family members in your health plan
  Choose your new plan option Add, drop or change the level of your life insurance or AD&D coverage
  See if the HSA is right for you Enroll or re-enroll in a flexible spending account to pay for day care or health expenses with pre-tax dollars

Forms You Will Need, via Google Forms




If you prefer to use paper forms, please click here

Information and Links to Help Make Your Decisions

  Important information if health care coverage extends to a Financially Interdependent Partner.  For more information on Financially Interdependent Partners, refer to the explanation of benefits and the Statement of Financial Interdependence.

Reference Materials

The Affordable Care Act (ACA) requires that we provide summaries of benefits and coverage for each plan we offer, as well as a Glossary of Terms for terms used in insurance and health care discussions.  Each summary provides information about what the plan covers, with examples of common health scenarios (treating diabetes and having a baby) so you can compare what you'd pay under each plan in a consistent format.

Back to Top