Health Plan Enrollment Information and Forms
Enroll for most benefits within PeopleSoft
Self-Service>Benefit Details>Benefits Enrollment
Coverage elections made at open enrollment or during initial eligibility cannot be changed until the next annual enrollment period unless you experience a "qualifying event" as defined by the IRS Section 125 Rule." A Qualifying Event allows you to make a change to your benefit elections within 31 days of the Event.
Examples of Qualifying Events include, but are not limited to:
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Marriage
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Divorce or legal separation
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Birth, adoption or legal custody of a dependent child
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Involuntary loss of other group insurance or government sponsored coverage
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Death
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Spouse’s Open Enrollment
If you have a qualified event that allows or requires you to make a status change, you must contact the HR Services within 31 days of the event to make changes to your benefit elections.
Useful Links
- Notice of Special Enrollment Rights
- Company Plan 2024 Premium Schedule - Medical
- Company Plan 2024 Premium Schedule - Dental & Vision
- 2024 Flexible Spending Election Form
- 2024 Health Savings Account Change Form
- 2024 QE Change Form - CCI Bi-Weekly
- 2024 QE Change Form - CCI Weekly
- 2024 Dependent Verification Form
- Essential Health Benefits Notice for Illinois Employees
Life Insurance Enrollment Information
You are automatically enrolled in the employer-provided basic life coverage from Voya.
New Hires may enroll in voluntary life, up to the guarantee issue amount, when first hired. Late enrollees, any increases, and any amounts over the guarantee issue are subject to Evidence of Insurability requirements (EOI). Coverage will not become effective until approved by Voya.