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Cal Poly Pomona

Open Enrollment 2011

Open Enrollment 2010

Open Enrollment Information

The Open Enrollment Period will be from October 10, 2011 through November 4, 2011, with the effective date of January 1, 2012 for changes filed during this period.

During Open Enrollment, eligible employees may enroll, change health plans, delete family members or add eligible family members (including dependent children under age 26 regardless of their marital or student status).

Open Enrollment is also the period when employees can enroll or re-enroll in the Health Care Reimbursement Account (HCRA) or Dependent Care Reimbursement Account (DCRA). IRS rules require re-enrollment each tax year to participate in HCRA and/or DCRA. Additional information is available regarding these accounts on the Benefits website at:  Flexible Benefit Programs:  HCRA/ DCRA .

Open Enrollment Links

If you do not wish to make any changes to your existing benefit enrollment(s), no action is required except enrollment into Flexible Spending Accounts (HCRA/DCRA) requires annual enrollment during open enrollment period.

How to File an Open Enrollment Change

  1. Complete a Open Enrollment Worksheet and/or HCRA/DCRA Enrollment Form
  2. Submit Completed Worksheet to Benefit Services no later than Friday, November 4, 2011, 10:30a.m.
  3. Sign official open enrollment documents no later than Tuesday, November 15, 2011, 10:30 a.m. The official enrollment documents will be prepared by Benefit Services after you submit your worksheet. Benefit Services will notify you when the documents are ready for you to sign.
  4. Check your enrollment choices against your paycheck stub at the end of December. Contact Benefit Services to report any descrepancies.

Other Important Open Enrollment Information and Links