Benefits Enrollment Instructions
Generally, there are three times when benefit-eligible employees can enroll in or may be able to change benefits: 1) as a newly hired or benefit eligible employee, 2) after experiencing a qualifying status change event, or 3) during open enrollment. Follow the procedures below to complete your enrollment.
New Employee or New Benefit-Eligible Employee
All new benefit-eligible employees must complete the Benefits Election/Change Summary - Form 3075 and applicable insurance enrollment forms. All forms must be received by the Office of Human Resources within 30 days of coverage effective date. Failure to submit elections within the 30-day deadline will result in no insurance coverage for the entire plan year.
Qualifying Event/Special Enrollment Period
If you have a qualifying "status change" event during the year, you may be allowed to make changes to your benefits mid-year. Link to life events - special enrollment period for additional information regarding qualifying status change events. All benefit enrollment/change forms must be received by the Office of Human Resources within 30 days of the event.
Benefit Open Enrollment
During the benefit open enrollment period, current eligible employees may switch, add, adjust or cancel insurance and/or add or remove spouse or dependent(s) from insurances. Here's how you get started:
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Review Important Dates |
The next open enrollment period is October 24, 2011 through November 4, 2011. Your changes must be submitted to the Office of Human Resources by November 4, 2011. The effective date of change to your benefits is January 1, 2012. |
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Review Your Current Benefits |
Login to Bannerweb at www.ltu.edu/bannerweb to review your current benefits and beneficiary/dependent information. |
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Take No Action (see Exception) |
If you elect to remain in your current medical, dental, vision, life insurance and PPLS/ITS plan and/or if you are not adding or removing a spouse or dependent, no action is required. Employees who do not initiate a change during open enrollment will automatically continue their current benefits coverage for 2012 - (see Exception). Exception: If you want to enroll or re-enroll in the FSA health care and/or dependent care plan for 2012, you must submit the FSA Election Form #3013 annually. |
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Take Action |
If you are making ANY changes to your health, dental, vision, life insurance or pre-paid legal service benefits; enrolling or re-enrolling in the FSA health care or dependent care plan for 2012; and/or adding or removing spouse or dependent(s), you must complete the Benefits Election/Change Summary Form and applicable insurance enrollment/change form(s). |
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Bannerweb Enrollment |
You can complete your benefits open enrollment changes by logging on to Bannerweb at http://www.ltu.edu/bannerweb. Step 1 Click Login to Secure Area Step 2 Click Employee Services Step 3 Click Benefits and Deductions Step 4 Click Start Open Enrollment and follow instructions Step 5 Click Complete to update your change(s) Step 6 Click Calculate Cost Step 7 Print, sign and submit the Calculate Cost page to Human Resources NOTE: The Calculate Cost page will serve as your web 2012 Benefits Election/Change Summary Form. Step 8 If you make any changes to your current benefits and/or adding or moving a dependent and/or enrolling or re-enrolling in the FSA health care and/or dependent care plan for 2012, download and complete applicable insurance enrollment or change form(s). Step 9 Submit all signed forms to Human Resources by November 4, 2011. |
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If you want to enroll or re-enroll in the FSA Health Care and/or Dependent Care plan for 2012, you must submit the Flexible Spending Account Election - Form #3013 annually. |
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Waiver of Insurance Coverage Election
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If you currently have medical, dental and vision coverage and want to waive any or all health coverage for 2012, you must submit the Waiver of Insurance Election - Form #3012. If you are currently waiving insurance coverage and do not elect coverage for 2012, your current "waive insurance" election will automatically continue for 2012.
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Questions? Email benefits@ltu.edu.
Limitations
Lawrence Tech in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.
Every effort has been made to ensure the accuracy of the benefits information in this site. However, if any provision on the benefits plans is unclear or ambiguous, the Office of Human Resources reserves the right to interpret the plan and resolve the problem. If any inconsistency exists between this site and the written plans or contracts, the actual provisions of each benefit plan will govern. Lawrence Tech in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents.