RCUH Open Enrollment FY 2024
Welcome to RCUH’s FY 2024 Open Enrollment! During this time, you will be able to review your current health coverage and make changes to best suit the needs of you and your family. Our Open Enrollment election period is April 26 – May 17, 2023. All changes will be effective July 1, 2023.
RELEVANT DOCUMENTS
If you are satisfied with your current health (medical/dental) selections and do not plan to make any changes, no action is needed on your part. All employees who are currently waiving or choose to cancel their RCUH medical insurance plan are REQUIRED to submit a new eWaiver each plan year (July 1 – June 30) via the eUpload feature. Please note that unlike health plans, Flexible Spending Accounts (FSA) Healthcare/Dependent Care does not automatically continue year to year. You must enroll/re-enroll into a FSA Healthcare/Dependent Care for each plan year if you want to participate.
Forms will be available on Wednesday, April 26, 2023. To access the OE forms, log into the RCUH Employee Self-Service (ESS) portal > click on eUpload > Click here to submit a new eUpload Request > click on the eUpload Type and select the form in the dropdown > click on Link to the document.
| Action | Form | Required Supporting Documents |
|---|---|---|
| 1) Health - Enroll/make changes for self | 01-Open Enrollment - All-in-One | N/A |
| 2) Health - Add an eligible dependent - Spouse | 01-Open Enrollment - All-in-One | Marriage Certificate |
| 3) Health - Add an eligible dependent - Domestic Partner | 01-Open Enrollment - All-in-One | Domestic Partner Forms |
| 4) Health - Add an eligible dependent - Child | 01-Open Enrollment - All-in-One | Birth Certificate, Guardianship Degree (if legal guardian), or Adoption Decree |
| 5) Health - Remove a dependent | 01-Open Enrollment - All-in-One | N/A |
| 6) FSA - Enroll/re-enroll into an FSA Healthcare/Dependent Care | 01-Open Enrollment - All-in-One | N/A |
| 7) Waive/Cancel Medical Insurance with RCUH | 02-Open Enrollment - eWaiver | N/A |
You can also contact RCUH Employee Benefits ([email protected]) for more information on the following actions:
- Enroll yourself or a qualified family member in Supplemental Long-Term Care (subject to a medical questionnaire and/or underwriting)
- Change your Group Life Insurance maximum coverage amount (subject to a medical questionnaire and/or underwriting)
| Open Enrollment Dates | |
| Open Enrollment Election Period | April 26 — May 17, 2023 |
| Deadline for Enrollment Change Requests and Supporting Documents | May 17, 2023 |
| Review Enrollment on Benefits Summary Page to Ensure Accuracy | June 5, 2023 |
| New Coverage and Rate Changes | |
| Premium and Plan Change Effective Date | July 1, 2023 |
| Health Premium — First Deduction | Review July 7, 2023 Pay Statement |
| FSA Healthcare/Dependent Care — First Deduction | Review July 21, 2023 Pay Statement |
| Benefit Periods | |
| Plan Year Benefit Period | July 1, 2023 — June 30, 2024 |
| Calendar Year Benefit Period | January 1 — December 31, 2023 January 1 — December 31, 2024 |
DEADLINE TO SUBMIT FORMS AND ALL REQUIRED DOCUMENTS IS MAY 17, 2023
Please submit all forms and documents using the eUpload feature in Employee Self-Service.
PROVIDER INFORMATION
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