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Health Insurance Open Enrollment

Please note that July 1, 2020 is the open enrollment date for those who would like to sign up for health insurance. This is also the time to make any changes to your existing coverage such as switching from a PPO to an HMO, adding a dependent, etc. You will find the FY21 rates attached.

The deadline for enrollment is Friday, June 5, 2020 

If you would like to enroll or make any changes to your health plan, please email me and I will inform you on how to proceed.

HARVPILRATES21


Dental Insurance Open Enrollment

Open enrollment for The Guardian dental plan is July 1, 2020. Attached, you will find the enrollment/change form, new rates for FY20/21 and the summary of benefits.

The attached enrollment form is to be used for new enrollment or changes to your existing coverage. If you are currently enrolled in the dental plan and do not need to make any changes to your coverage, you do not need to complete a new enrollment form. Your coverage will automatically roll-over to the new year. Please scan/email your forms to me.

The deadline for new enrollment/changes is Friday, June 5, 2020

Guardian Enrollment Form

Guardian Plan Info

Guardian Rates21 


Flexible Spending

It is open enrollment time for the Flexible Spending Account program. The deadline to sign up is Friday, June 5th. If you already have an FSA, you will still need to complete a new application for the upcoming year. The application and list of eligible expenses is attached. Please note that the attached enrollment form is a “fillable” form for your convenience.

The maximum contribution for medical expenses will be $2,000 per year. Also, there will be a $500 carry-over from one plan year to the next. These funds can be used at any time during the entire subsequent plan year.

For those of you not familiar with the FSA concept, it is a voluntary employee benefit plan which allows employees to set aside a pre-determined amount of money each year on a pre-tax basis to pay for allowable medical expenses not covered by a health plan.

The FSA can also be used for dependent care expenses with a maximum yearly contribution of $5,000.

There are no fees to participants.

If you were a participant this year, please continue to use the same debit card for the upcoming year. TASC, the plan administrator, will automatically re-load your card for your elected amount.

Completed applications should be returned to me via E-mail or scanned. Please feel free to contact me should you have any questions.

FSA Eligible Expenses

FSA Enrollment Form FY21