MMC 2019 Annual Open Enrollment.
Open enrollment for eligible employees begins now through Monday, November 19th.
The IRS has released the FSA 2019 maximum of $2700/year.
• REVIEW YOUR BENEFIT OPTIONS
• ENROLL FOR FIRST TIME
• MAKE PLAN CHANGES
• ADD/REMOVE DEPENDENTS
• DECLINE COVERAGE
All elections made during this time will be effective January 1, 2019. Enrollments or changes are binding for the entire year, unless you experience a Qualifying Event.
Completed paperwork may be submitted via email firstname.lastname@example.org or fax (310) 360-5100. Please be sure to include your contact information and we will call or email you within 24 hours to confirm receipt.
Questions? Email the Benefits Dept. at email@example.com or call (800) 899-6624.
Blue Shield Access + HMO Facility Coinsurance 25-25% Summary 2019
Blue Shield Full PPO Split Deductible 30-2000 70 50 Summary 2019
Blue Shield Access + HMO 30-10% 1500 Facility Deductible Summary 2019
Blue Shield Full PPO Savings Two-Tier Embedded Deductible 2250-2700-4500 Summary 2019
Blue Shield Employee Application Form 51+ 2019
Blue Shield Life Insurance Beneficiary Change 2019
Blue Shield Life Insurance Enrollment Form 2019
Blue Shield Life Insurance Summary 2019
Blue Shield Provider Search Instructions 2019
Kaiser Enrollment Application Form 2019
Kaiser Benefits Summary 2019
Kaiser Change Form 2019
FSA & HSA Forms
FSA Claim Form 2019
FSA Eligible Expenses 2019
FSA Participant Reference Guide 2019
FSA-HSA Enrollment Application
FSA Dependent Care Qualifications
FSA Additional Debit Card Request
HSA Contribution Form 2019
HSA Eligible Expenses 2019
HSA Participant Reference Guide
TASC Benefits Enrollment Form
TASC HSA Enrollment Form-E
TASC Online Enrollment Instructions
IRS Plan Limits Forms
KHEO FSA-HSA Enrollment Application
KHEO Waiver Form
KHEO Essential Formulary Flyer
KHEO Side-by-Side Comparison
KHEO Anthem Provider Locator Instructions Universal
KHEO EOI Form_Supplemental Life Insurance
KHEO Benefit Election Form Employees – ACTIVE & COBRA
KHEO Benefit Election Form Physicians – ACTIVE & COBRA