2) after experiencing a qualifying status change event, or
3) during benefits open enrollment.
Follow the procedures below to complete your enrollment.
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.
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.
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's Changing for 2014
- The current BCN Healthy Blue Living HMO and Blue Cross Blue Shield of MI (BCBSM) Simply Blue PPO plans will terminate on 12/31/2013.
- Effective 01/01/2014, the new medical plan options will be HAP Aspire Health Engagement HMO and Alliance Health and Life (AHL) PPO.
- All employees will need to make a new medical election for 2014.
Here's What You Need to Know and Do
Review Important Dates
The next open enrollment period is October 28, 2013 through November 8, 2013. Your changes must be submitted to the Office of Human Resources by November 8, 2013. The effective date of change to your benefits is January 1, 2014.
Benefits Open Enrollment
Review the 2014 Benefit Newsletter and Benefits Guide to learn what's happening for 2014.
Login to Bannerweb at www.ltu.edu/bannerweb to review your current benefits and beneficiary/dependent information.
Download and complete Benefit Forms:
NOTE: Your current dental, vision, life and legal/identity theft shield plans will carry over inot 2014 unless you submit your changes. Changes include cancel plan, add/remove spouse and/or dependents.
2014 Benefit Elections
to Human Resources
Submit your completed 2014 Benefits Election/Change Summary Form #3075 and applicable enrollment/change forms to the Office of Human Resources.
Ways to submit your signed forms:
Questions? Email ï»¿firstname.lastname@example.org.
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.