Generally, there are three times when benefit-eligible employees can enroll in or may be able to change benefits:

1) as a newly hired benefit eligible employee,

2) after experiencing a qualifying status change event, or

3) during benefits open enrollment

Follow the procedures below to complete your enrollment.  


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.   

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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 What You Need to Know and Do

Review Important Dates

The next open enrollment period is October 27, 2014 through November 7, 2014.  Your changes must be submitted to the Office of Human Resources by November 7, 2014.  The effective date of change to your benefits is January 1, 2015. 

Access

Benefits Information and 

Material

Review the 2015 Benefit Newsletter and Benefits Guide to learn what's happening for 2015.

Login to Bannerweb at www.ltu.edu/bannerweb to review your current benefits and beneficiary/dependent information.  

No Action

(See Exception)

 

No action is necessary if you are not making changes to your current medical, dental, vision, life insurance, legal or identity theft plans.  Your current coverage will continue next year unless you submit changes.  Changes include cancel plan, add or remove spouse or dependent(s). 

Exceptions:

  • FSA Election(s) - You must enroll in the FSA Health Care and/or Dependent Care plan each year.  Complete your FSA enrollment on the 2015 Benefits Election/Change Summary Form #3075.
  • Waive Medical Insurance - If you are currently waiving LTU's medical insurance and do not enroll in LTU's medical plan for 2015, you must indicate waive medical on the 2015 Benefits Election/Change Summary Form #3075. You must also certify that you have other medical insurance coverage for 2015 and provide your other medical insurance information.

Submit Your

2015 Benefit Elections

to Human Resources

Download and complete your changes, FSA enrollment or Waive Medical Election on the 2015 Benefits Election/Change Summary Form #3075 and applicable enrollment/change forms to the Office of Human Resources. 

Ways to submit your signed forms:

  • Send forms through inter-office campus mail
  • Fax forms to 248.204.2118 or 2119
  • Bring forms to the BSB, Office of Human Resources
  • Scan forms and email to benefits@ltu.edu

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Questions? Email ï»¿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.