Open Enrollment

Benefits Open Enrollment 2015

We are pleased to announce the start of the 2015 Benefits Open Enrollment period at Lafayette College.  The Office of Human Resource’s offers one combined Open Enrollment period for your medical, dental, flexible spending, supplemental life insurance coverage, and vision coverage.

   Click Here for the Open Enrollment Informational Meetings Schedule

 

This year’s Open Enrollment begins on October 28, 2014 and continues through November 18, 2014. During Open Enrollment, employees may make changes to their benefits plans.  All of the plans offered during the Open Enrollment period are based on a calendar year (January 1, 2015 through December 31, 2015); therefore changes made during this period will be effective on January 1, 2015.

During Open Enrollment, you can make changes to your benefit plans without having to show evidence of a “life status change”.  Once you have made your elections, you cannot change them during the plan year unless you experience a life status change event as qualified under IRS regulations Section 125.


Please refer to the Open Enrollment Brochure for all information regarding Open Enrollment for 2015:

Link to 2015 Open Enrollment Brochure

The college has selected Highmark Blue Shield as its health insurance carrier for 2015.  Dental insurance will remain with Blue Cross Dental and continue to be administered by Capital BlueCross. The college has selected Discovery Benefits as its Flexible Spending Administrator for 2015. Detailed information can be found in the Open Enrollment Brochure.

Rates Actives Active Employees – 2015

 Highmark PPO Plans Overview

Highmark Standard PPO Benefits Summary

Highmark Qualified High Deductible (QHDHP)+HSA Benefits Summary

Highmark Low Deductible PPO Benefits Summary 


Following are links to the Highmark Blue Shield’s Website.  This site provides information and forms for employees enrolling in, or making changes to their medical coverage for 2015.

Link to Highmark

Link to Highmark Health Savings (HSA) Account

Highmark Health Savings Account (HSA) FAQS

Employee HSA Contribution Enrollment Form, for Qualified High Deductible Plan

Health Savings Account (HSA) Enrollment Form

Because the College is changing its health insurance carrier for 2015 and offering three new medical plans we are requiring all employees to complete a Highmark enrollment form for 2015 (applicable for all medical plans).

 Medical Enrollment Application

Employees who are declining medical coverage must complete the Highmark Medical Waiver Form

 Enrollment-Waiver Form


For dental coverage the following is a link to Capital BlueCross webpage.  This customized site provides information and forms for employees enrolling in, or making changes to their dental coverage for 2015.

 Link to Capital Blue Cross Dental

 Application to Enroll or Change Dental Coverage

If you are remaining on dental coverage for 2015 with no changes to dependents, you do not need to complete a new Capital dental Enrollment Form.


 Flexible Spending Accounts

The college has selected Discovery Benefits as its Flexible Spending Administrator for 2015.

Understanding Your FSA

FSA Employee Guide

Frequently Asked Questions

Discovery Benefits Flex Reimbursement Form

 A new Flexible Spending Enrollment Form, is needed for all employees enrolling in this program for 2015.  Additionally, if you are electing Dependent Care for 2015 you may complete the Recurring Dependent Care Request Form.

The following documents will serve as a guideline when using your Flexible Spending Debit Card

Guide to the Benefits Debit Card

Guide to Substantiating Debit Card Transactions 


 

 Optional Life Enrollment

Eligible employees are able to buy or increase their Optional/Supplemental Life coverage in increments of $10,000, up to 5 times their annual salary, not to exceed $500,000. Employees who are currently enrolled in optional life (at any amount) would be eligible to increase their optional life insurance by up to $20,000, without evidence of insurability, during this and future open enrollment periods.

Optional/Supplemental Life Enrollment Form (PDF)

Optional/Supplemental Life Enrollment Form (DOC)


Additional Forms

Below is an additional links, to the various forms and plan information, that also pertain to your benefit selections during the 2015 Open Enrollment period.

Medicare Part D Creditable Coverage Notice – Lafayette College