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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 5, 2020 and ends Friday, October 16, 2020. The deadline to submit changes to Human Resources is Friday, October 16 at 4:00PM. Elections made will become effective January 1, 2021. 

If you decide that you do not want to make any changes, simply complete a 2021 Open Enrollment Form (PDF) and select your 2020 enrollments. Your 2020 coverage will roll over to 2021, at the new plan rates. If you are unsure of your 2020 enrollments, you can view your coverage on ADP Workforce Now.


Employer Contributions

The monthly contributions for 2021 are the same as 2020. 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: