OPEN ENROLLMENT
NOVEMBER IS OPEN ENROLLMENT MONTH
October 2024
It will NOT be necessary for you to come to the Health Plan office – in person – to make any changes during Open Enrollment (OE).
There are three (3) actions you can take during Open Enrollment and the changes you make will be effective January 1, 2025:
- Medical Plan
There are 2 medical plans offered: Personal Choice PPO and Keystone HMO, both through Independence Blue Cross. During OE you can change from one medical plan to the other. Forms to change from one plan to another are available on the Health Plan’s website at www.local22healthplan.org. or on the link at the end of this notice.
2. Dental Plan
There are 2 dental plans offered: a PPO and a DMO, both through Aetna. During OE you can change from one dental plan to the other. Forms to change from one plan to another are available on the Health Plan’s website at www.local22healthplan.org. or on the link at the end of this notice.
3.Eligible Dependent(s)
You can add your spouse or dependent child(ren) to the Health Plan. The Health Plan’s Dependent Form is available on our website at www.local22healthplan.org.or on the link at the end of this notice.
Comparisons of the 2 medical plans and the 2 dental plans, to help you make an informed decision for you and your family, are available in the charts below.
There is 1 prescription drug plan and 1 vision plan, so there are no elections you need to make there.
If you do not wish to change your medical or dental plan, and if you have no changes to your eligible dependents, there is no action required on your part.
If you do make changes, simply fax (215-440-4417) or email (Lclark@iaff22.org or Lfinnerty@iaff22.org) the forms back to the Health Plan. We will confirm receipt of your documents within 24 hours of the next business day. All forms must be received by November 30th. IF YOU DO NOT GET CONFIRMATION FROM THE HEALTH PLAN THAT YOUR DOCUMENTS WERE RECEIVED YOU MUST CONTACT US. WITHOUT CONFIRMATION THAT DOCUMENTS WERE RECEIVED WE WILL NOT GUARANTEE THAT YOUR CHANGES WILL BE MADE FOR JANUARY 1.
The Open Enrollment form link is below:
To Add a Spouse or Dependent during Open Enrollment fill out the form in link below
ADD Dependent Form 03 31 2023 FILLABLE
Add Dependent form during open enrollment
