To Make Changes
If you are interested in enrolling into a new plan or adding/removing dependents, please complete both the form for the plan you choose (available in Human Resources) and the Open Enrollment Change Notification Form(PDF) and return both to Human Resources by Friday, November 17th at 3:00pm.
To Keep Existing Coverage
If you are satisfied with your health coverage and do not want to make any changes, simply complete the Open Enrollment Change Notification Form to notify our office that you do not wish to make any change to your existing plan coverages for the 2018 plan year. For your convenience, here is a summary of all plan rates for 2018 (PDF).
2018 Plan Highlights & FAQs
Open enrollment is your opportunity to review and make changes to your medical, dental, and vision plans. During Open Enrollment you can add, delete, or change plans, or add/remove dependents from your coverage. To help navigate through Open Enrollment, we have included several frequently asked questions for your review.
The Shops offer Kaiser HMO, Anthem Blue Cross HMO & HMO Select and Anthem Blue Cross PPO.
Your plan options are:
Anthem Blue Cross HMO Select Plan
Anthem Blue Cross HMO Plan
Anthem Blue Cross PPO Plan
The Shops now offers Delta Dental of California as the Dental PPO plan of choice. Dental HMO remains with MetLife/Safeguard HMO.
Delta Dental PPO
The Shops will continue to offer the same vision plan benefits as we did last year. Our plan of choice has been VSP.
Voluntary Life and Accident Death & Dismemberment Plan
This year we will continue to offer a Voluntary Life and Accidental Death and Dismemberment Plan (AD&D). This plan will allow you to purchase additional life and/or AD&D coverage for you and your family. These voluntary plans are now offered through The Hartford and provide peace of mind that your family will be provided for should something unexpected happen.
Basic Term Life and AD&D (PDF)
Flexible Spending Account Option
The Flexible Spending Account is a voluntary plan where you elect to have automatic deductions taken from your check and put into a Flex Plan so that you do not pay taxes on that amount. The money that you elect to deduct can either be used to reimburse you for medical expenses and/or for childcare expenses that you incur during the year, depending on the deduction amounts for each plan in which you enroll.
The maximum annual contribution limit for Medical Flexible Spending Accounts is $2,650.
Benefits Waiver Program
The Forty-Niner Shops offers a Benefits Waiver Program to help manage your benefits coverage. If you have medical, dental, and vision coverage outside of the Shops, the Benefits Waiver Program pays you cash in lieu of medical coverage. You must provide proof of coverage to participate. To learn more about this program, please see the Benefits Waiver Programs summary below.