2019 Annual Enrollment is Here!

Enroll in or make changes to your benefits
Annual Enrollment is your once a year opportunity to enroll in or make changes to your benefits for the new plan year. The benefits you elect during Annual Enrollment are in effect for the remainder of the plan year which ends on [DATE], unless you experience a qualified life status event.


New for [YEAR]
The following benefit changes are taking place effective [MONTH DATE YEAR]:

  • XXX[Plan Carrier change]
  • [Benefit increase/decrease]
  • [New voluntary benefit available]
  • [Plan rate increase]
  • [IRS maximum increase]


Important Action Items During Annual Enrollment

  • Passive Enrollment: This is a passive enrollment. If you don’t make changes to your benefits, your current elections will automatically roll over to the next plan year, except for the FSAs and Commuter benefits.
  • Active Enrollment: This is an active enrollment. All eligible employees must enroll in or decline coverage during Annual Enrollment. If you do not elect benefits, your next opportunity to enroll will be the next Annual Enrollment period unless you experience a qualified life status event.
  • Review your benefits information carefully and choose the plans that are best for you (and your family) for the upcoming plan year.
  • During Annual Enrollment, you may add, change, or decline coverage for yourself and your dependents.
  • Each year, you must re-enroll in the Health Care and Dependent Care FSAs and Commuter benefits. Select the amount you want to contribute, up to IRS annual limits, to each account.
  • Now is a great time to review your beneficiaries and keep them updated as life changes.
  • Enroll in or make changes to your benefits before [Date], 20XX. Benefits will be effective on [Date], 20XX.

You are eligible for benefits if you are a full-time employee working XXX hours per week or are a part-time employee working XXX hours per week.

How to Enroll
Enroll in or make changes to your benefits [by completing an enrollment form and submitting your forms to Human Resources.] [by applying online at [Website] and following the steps to enroll.  New users must register for an account.]

Your Cost of Health Coverage

Coverage Type

[Plan A]

[Plan B]

[Plan C]

[Plan D]

[Plan E]

Employee Only

























*Premium contributions are deducted from your paycheck on a pre-tax basis unless otherwise requested by you in writing

**Spouse can also refer to Domestic Partner