2023 Resources For Open Enrollment

Open Enrollment Presentation — 2023

⇒  Action Required: 

• Open Enrollment Employee Form — 2023

• HRA – Application Form   
  • Additional HRA Card Request
• HSA Application Form 
  • Certification of HSA Eligibility

• HSA – Extra Employee Contribution 2023

• Flexible Spending Account (FSA) or Dependent Care (DC) Election Enrollment-Form

⇒  Cash-in-Lieu – Health Insurance Buyout – FY2023
If you are eligible for group health insurance and opt-out and have comparable, alternative group health insurance coverage, you are eligible to receive a cash-in-lieu payment.  The current cash-in-lieu rates can be found here: Health Insurance Buyout Letter for 2023 with Dec. of Alternative Coverage Form

Only for New Enrollments or Changes: 

• BCBS Enrollment Change Form 

• Domestic Partner Enrollment Form

⇒  Important Health Plan Information: 

Licensed Employees: 

• Plan Comparison for Licensed Employees 2023

• Health Insurance Rates — Licensed Employee Effective January 1, 2023

Non-Licensed Employees: 

• Non-Licensed Employee – Plan Comparison Grid of VEHI Health Plans
• Health Insurance Rates — Non-Licensed Employee Effective January 1, 2023

⇒ Other Helpful Information:  

VEHI BC/BS Enrollment Booklet 

VEHI Website 

BC/BS VT Website 

VEHI Benefit Description Wrap Form 

        Summary of Benefits and Coverage (SBC) for 2023 Plan Selection:

• • VEHI Platinum 2023 SBC 
  • VEHI Gold 2023  SBC
  • VEHI Gold CDHP 2023 SBC
  • VEHI Silver CDHP 2023 SBC
  • BC/BS & VEHI Helpful Packet

      Datapath Information:

• • FSA Enrollment and Explanation Book
  • DataPath – HSA Today Enrollment Book
  • DataPath – HSA Investments
  • HSA Frequently Asked Questions  
  •  HSA vs HRA – What is right for you
  • General Guidance HRA and HSA — updated 11.12.2020

      Datapath Link for www.myrsc tutorial – https://datapathadmin.com/vermont/

Employees’ Login of Individual HSA/HRA/FSA Accounts:    www.myrsc.com

Delta Dental Information:   

• • Delta Dental Booklet
  • Delta Dental Enrollment or Change Form  
  • Delta Dental PPO Plus Premier Claim Example

Summary Plan Description for the Cafeteria Plan