Human Resources


2014 Open Enrollment

Annual Benefits Open Enrollment Period
Monday, November 4, through Friday, November 15

The following list was developed to make it easier for you to know the actions you need to take to elect your benefits for 2014. 

Review the 2014 Benefits Information update and 2014 Benefits Guidebook and complete enrollment forms as follows:

  •  Medical, Dental, Vision – complete forms only if you desire a change to your current elections OR if you are not enrolled and want to be enrolled. 
  •  FSA (Flexible Spending Accounts) – If you want to participate for 2014, you must complete an enrollment form.


Open Enrollment Meetings

Open enrollment meetings are scheduled for Wednesday, November 6, at 9:00 a.m., 11:00 a.m., 1:00 p.m. and 3:00 p.m. in the Sadove Student Center Conference Room (112).  The focus of the meetings this year will be a review of the changes for 2014 including the new Express Scripts prescription plan. ALL FACULTY AND STAFF ARE ENCOURAGED TO ATTEND.


Please keep in mind that after the conclusion of this open enrollment period you may not change your insurance and FSA elections unless you have a qualifying event and the change you are requesting is consistent with the event.  Qualifying events include a change in marital status, dependents, or your or your spouse’s employment status (for a complete list, please see page 4 of the Benefits Guidebook).  If one of these events occur, you must notify Human Resources and complete applicable forms within 30 days of the event or you will not be able to make the change until the next open enrollment period.

If you have any questions related to open enrollment or benefit coverages, or need assistance completing the forms, please contact Luann Zaleski, ext. 4689 or Samantha Campione, ext. 4042.

Completed forms must be returned to Human Resources by Friday, November 15 (or sooner, if possible)!  Thank you.

2014 Benefits Guidebook pdf
2014 Benefits Information pdf
2014 Group Medical Insurance Rates pdf
2014 Dental/Vision Insurance Rates pdf
Excellus Enrollment Form
Medical Waiver Form
Dental/Vision Enrollment Form pdf
FSA Enrollment Form pdf

Express Scripts Transitioning Information

Welfare Benefits Plan - SPD

Annual Notices:
Medicare Part D Creditable Coverage Notice pdf
Privacy Notice

Summary Annual Reports:
403(b) Retirement Plan pdf
Group Insurance Plan pdf