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Open Enrollment

Open Enrollment is your opportunity to review and make changes to your health plans. Open Enrollment begins Monday, October 11, 2021 and ends Friday, October 22, 2021. The deadline to submit changes is Friday, October 22 at 4:00PM. Elections made will become effective January 1, 2021. 

If you decide that you do not want to make any changes, your 2021 coverage will roll over to 2022, at the new plan rates. If you are unsure of your 2021 enrollments, you can view your coverage on ADP Workforce Now.

 

Employer Contributions

The monthly contributions for 2022 are the same as 2021. The Forty-Niner Shops will contribute the amounts listed below to your total monthly premiums based on the coverage group you have selected from our plan options:

  • Employee Only — $662.62/month
  • Employee + One — $1,381.46/month
  • Employee + Family — $1,976.89/month

Medical Plan Options & Rates

To get started and to review the medical plan options available, we have centralized all the open enrollment information based on your coverage eligibility classification: