Open Enrollment

2020 Open Enrollment Instructions

Listed below are the benefit descriptions and enrollment forms for the Village’s benefit plans that are open for enrollment by eligible employees with a benefit effective date of July 1, 2020.  Information regarding the Employee Assistance Program (available year-round), and mandated annual benefits report information is also provided below. Please view the Open Enrollment Benefits Summary, Employee Rate Sheet, and Presentation, before visiting the individual benefit topics:

2020 Open Enrollment Benefits Summary

2020 Benefits Employee Rate Sheet

IPBC Open Enrollment Presentation

BCBS & Opt-Out Health Plans

  1. BCBS 2020 HMO Presentation
  2. BCBS 2020 PPO Presentation
  3. 2020 BCBSIL Enrollment Guide
  4. 2020 Opt-Out Enrollment Form
  5. BCBS_PPO_HMO_BAHMO_Enrollment Form

MetLife Dental Insurance

  1. MetLife Dental Booklet 2020
  2. Dental Enrollment Form

VSP Vision Insurance

  1. VSP Vision Enrollment Form

Discovery Benefits FSA

  1. FSA Enrollment Form
  2. Dependent Care FSA Information
  3. Medical FSA Employee Handout

Supplemental Life Insurance

  1. The Standard Slideshow
  2. The Standard Supplement Life Info
  3. The Standard Insurance Enrollment Form
  4. NCPERS Brochure
  5. NCPERS Enrollment Form

Express Scripts Rx Drug 

  1. Smart90 for Maintenenace Medications
  2. Express Scripts Mobile App
  3. Express Scripts Preferred Formulary List
  4. Express Scripts Rx Exclusions

Other Benefits

  1. AFLAC Policy Options 2020.docx
  2. Credit Union Flyer--Corporate America (PDF)
  3. DuPage Credit Union Flyer 2 (PDF)
  4. The Standard EAP Brochure (PDF)
  5. EAP Services Overview

Annual Notifications

  1. Childrens Health Insurance Program - Medicaid
  2. HIPAA Privacy Notice
  3. HIPAA Privacy Policy
  4. PPACA Section 1557 Notice
  5. Womens Health and Cancer Rights Act