Open Enrollment

Open Enrollment 2024-25

Open Enrollment for the Nov. 1, 2024, to Oct. 31, 2025, plan year runs from September 9th through the 27th. Eligible employees can change their medical, dental, and life insurance elections during this time. You can enter any election changes through Self-Service in BiONiC and then print and complete any needed carrier change forms from this page.

Please note, we recommend using Firefox as your browser when making any election changes through BiONiC.

General Information

• Open Enrollment Memo
• Open Enrollment Guidebook (in Spanish) SPANISH FILE COMING SOON
• Rates
• Medical Plan Comparison
• Self-Service Enrollment Instructions
• New medical cards will be issued for the upcoming plan year and will arrive in late October. The cards will contain new member and group numbers. You must present your new medical card to your doctor and pharmacy for any visits or prescriptions after November 1, 2024.

Forms

• Flexible Benefit Election Form
• Emergency Contact Form
• Independence Blue Cross Universal Enrollment Form
• Health Savings Account (HSA) Election Form and Health Equity Health Savings Account Application
• Delta Dental Enrollment/Change Form
• Lincoln Financial Life Insurance
  • Beneficiary Form
  • Online Application

Additional Benefits Included with Health Insurance

• Independence Blue Cross provides resources to help you in determining which care option, including virtual or urgent care, may be best based on your medical need. View the guide here.
• Teladoc (virtual care)
• Ovia Health Maternity & Family Planning
• Teladoc Health Diabetes Management
• Wondr Health