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2024 Open Enrollment was November 1 – 15, 2023. Open Enrollment is now closed. 

Below is the complete list of all 2024 Open Enrollment documents as a reference.

Active Clergy / Active TAC Fiscal Office Lay Employees

Download the full 2024 Open Enrollment packet: 2024 Active Clergy / TAC Fiscal Office Lay Employee Open Enrollment (OE) Packet

Individual documents are listed below:

  1. 2024 Active Open Enrollment Cover Letter

  2. 2024 Active OE Instructions

  3. 2024 Active OE Overview of Changes

  4. 2024 Active Group Health Benefits Enrollment Form 

  5. 2024 Humana Dental PPO and Vision Plan Benefit Summary

  6. 2024 Humana Dental PPO Plan Brochure

  7. 2024 Humana Vision 130 Plan Brochure

  8. Welcome to Apta Health!

  9. RxBenefits~Express Scripts Prescription Benefit Coverage Summary

  10. 2024 Express Scripts National Preferred Formulary

  11. 2024 Express Scripts National Preferred Formulary Exclusions 

  12. 2024 High Deductible Health Plans (HDHP) and Health Savings Accounts (HSA)

  13. Teladoc®

  14. Teladoc® Mental Health Flyer

  15. Preventive Care: Know Your Benefits 

  16. Take Action: Know Where to Go! ER, Urgent Care, or Doctor's Office?

  17. Surprise Medical Bill: How to Handle a Surprise Medical Bill

  18. 2024 Standard PPO Plan Summary of Benefits and Coverage

  19. 2024 High Deductible Health Plan Summary of Benefits and Coverage

  20. 2024 Required Annual Notices

  21. UnitedHealthcare PPO In-Network Provider Search

  22. Apta Health - Getting Started - Member Portal and Mobile App

 

Under 65 (U65) Early Retirees / Under 65 (U65) Spouses of Medicare Primary Participants / Under 65 (U65) Surviving Spouses / Under 65 (U65) Other Dependents of Medicare Primary Participants 

 

Download the full mailed packet: 2024 U65 Retiree / Spouse / Surviving Spouse / Other Dependents of Medicare Primary Participants Open Enrollment Packet

  1. 2024 U65 Open Enrollment Cover Letter

  2. 2024 U65 OE Instructions

  3. 2024 U65 Overview of Changes

  4. 2024 U65 Group Health Open Enrollment Form

All documents numbered 5 – 22 above pertain to under age 65 early retirees, spouses and other dependents of Medicare Primary participants and surviving spouses