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- Open Enrollment
Open Enrollment
2023 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, 2023. 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 and Employee Rate Sheet before visiting the individual benefit topics.
2023 Benefit Summary & Rate Sheet
BCBS & Opt-Out Health Plans
Delta Dental Insurance
Annual Notifications
- Summary_of_Benefits_BAHMO
- Summary_of_Benefits_HMOI
- Summary_of_Benefits_PPO
- Health Insurance and Market Place Coverage
- COBRA NOTICE
- CHIPRA State Premium Assistance Notice
- HIPAA Privacy Policy
- HIPPA Privacy Notice
- HIPPA Special Enrollment Rights
- Medicare_Certificate of Creditable Coverage_2020
- Newborns and Mothers Health Protection Act Disclosure
- Childrens Health Insurance Program - Medicaid
- Womens Health and Cancer Rights Act
- PPACA Section 1557 Notice
- HIPAA Privacy Notice
- Womens Health and Cancer Rights Notification