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- 2024 NonPERS Active Open Enrollment
2024 NonPERS Active Open Enrollment
2024 Open Enrollment will begin on October 16, 2023 and end on November 3, 2023.
Plan changes are effective on January 1, 2024
Open enrollment is the time to:
- make benefit changes for County medical, dental and vision plans;
- add or delete dependents;
- complete annual IRC Section 152 form for Domestic Partner;
- enroll in the Health Care Spending Account (HCSA);
- enroll in the Dependent Care Assistance Program (DCAP);
- enroll in Health Savings Accounts (HSA);
- update and review life insurance policies and beneficiaries, and;
- review Deferred Compensation plan.
Open Enrollment is available through Employee Self Service (ESS):
NOTE: If no changes are being made for the medical, dental and vision plans, you DO NOT need to take any action. You will continue to keep your current medical, dental, and vision plans for the 2024 plan year. We encourage all employees to login to Employee Self Service (ESS) to review their current benefits. Please refer to 2023 rate table for changes in the medical, dental, and vision plan premiums.Quick Links:
For complete information about negotiated benefits, please see your applicable Memorandum of Understanding or Management Resolution.
If you would like to make a plan change for 2024, please complete your online enrollment no later than 5:00 PM on November 3, 2023.
If you would like to make a plan change for 2024, please complete your online enrollment no later than 5:00 PM on November 3, 2023.
Flex Spending Accounts
Per IRS regulation, you must re-enroll in the Health Care Spending Account (HCSA) and/or Dependent Care Assistance Program (DCAP) each Plan Year.
Per IRS regulation, you must re-enroll in the Health Care Spending Account (HCSA) and/or Dependent Care Assistance Program (DCAP) each Plan Year.
In order to enroll in either HCSA or DCAP, you are required to complete your online enrollment by November 3, 2023.
Health Care Spending Account (HCSA):
*Max 2024 annual contribution $2,850
HCSA Guide
Dependent Care Assistance Program (DCAP)
*Max 2024 annual contribution $5,000
DCAP Guide
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*Max 2024 annual contribution $2,850
HCSA Guide
Dependent Care Assistance Program (DCAP)
*Max 2024 annual contribution $5,000
DCAP Guide
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MEDICAL AND DELTACARE PMI DENTAL (HMO)
Age Limit: 26
Requirements: Upload original certified birth certificate via Employee Self Service (ESS).
Dependent Verification Form (PDF)
Age Limit: 26
Requirements: Upload original certified birth certificate via Employee Self Service (ESS).
Dependent Verification Form (PDF)
DELTA PREMIER DENTAL (PPO) AND VISION
Age Limit: 19 - 24
Requirements: Must be a) full-time student, b) receive more than one-half of support from employee and c) unmarried. Upload original certified birth certificate with dependent verification form via Employee Self Service (ESS).
Age Limit: 19 - 24
Requirements: Must be a) full-time student, b) receive more than one-half of support from employee and c) unmarried. Upload original certified birth certificate with dependent verification form via Employee Self Service (ESS).
Adding Domestic Partners
Please read the following Domestic Partner Information to see what the requirements and documentations are to add a domestic partner to your health and/or dental benefits.
Be sure to complete the following forms during your online Open Enrollment.
/documentcenter/view/55333 Declaration of Domestic Partner Form (PDF)
IRC Section 152 Form (PDF)
Be sure to complete the following forms during your online Open Enrollment.
/documentcenter/view/55333 Declaration of Domestic Partner Form (PDF)
IRC Section 152 Form (PDF)
Life Insurance
Evidence of Insurability Form (PDF)
- must be completed if employee is requesting new or additional coverage
- must be completed if requesting coverage for dependents
Supplemental Life Insurance Plan Booklet (PDF)
Monthly Premium Rate Sheet (PDF)