Open Enrollment 2024 Insurance – HSA and Flex Spending Contribution Froms
Open Enrollment is now open for anyone who would like to make changes to their insurance coverage effective January 1, 2024.
Supervisory and LELS – If you do not plan to make any changes to your health insurance you do not need to complete the 2024 Insurance Election Form.
IBEW Employees will be moved to the BlueCross/BlueShield insurance plan. If you are not making any changes you will be moved to the same designation you currently have Family or Single. If you plan to make any changes including changes to Employee + Children or Employee + Spouse you must complete the 2024 Election form. Everyone will also need to complete the Family Medical Care Plan Enrollment form for BlueCross/BlueShield.
HSA Employee Contribution Election Form – This form must be completed if you would like to enroll or make changes to your HSA account through a payroll deduction. Maximum Contributions for 2024 are Single $4,150 and $8,300 Family which would include the $500 wellness incentive.
IBEW Employees are not eligible for HSA contributions.
2024 Insurance Election Form – This form must be completed only if changes are needed for change of coverage Single/Family and VEBA or HSA Election.
Employer Contribution Options:
100% VEBA
100% HSA
50% VEBA/50% HSA
Unless a new designation is made all employer contributions will continue to be made to your current VEBA or HSA plan.
FLEXIBLE SPENDING ACCOUNT – Completed the attached form and you would like to contribute to a FLEX account for Medical or Dependent Care in 2024. The maximum Flex contributions are Medical $3,200 and Dependent Care $5,000.
Keep the following in mind:
- Your entire election amount is available to you at the start of the plan year, even if you haven’t contributed funds from your paycheck yet. This means that if you have medical expenses early on, you can use your funds in advance to pay for them.
- Any unused funds over $640 in your account at the end of the plan year will be forfeited.
- You cannot change your election amount throughout the year, unless there has been a qualifying life event.
Please review the attached forms and submit any changes to Denise Nichols by November 27, 2023.