Open Enrollment is your once-a-year opportunity to change your benefits coverage. Make sure your benefits coverage meets you and your family’s needs for 2021! The deadline for Open Enrollment is November 13, 2020.
The following links and presentation provide the forms and information you need to complete enrollment. If you have questions, please see your local HR representative or contact Member Services.
Benefit Election Form (log in to see your location's Benefit Election Form)
FSA Enrollment Form (also known as Salary Redirection Agreement [SRA])
Spousal Health Care Affidavit (required for everyone, even if you are single; form must be submitted for spouse to receive coverage)
PSSP Beneficiary Designation Form (note: for Life Insurance beneficiary designation, use the Benefit Election Form provided above)