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Open Enrollment
Open Enrollment for 2010 begins November 1, 2009 and ends November 30, 2009
Should you need help at anytime during the open enrollment process, please contact Compensation and Benefits, ext. 2218.
Open enrollment is a period of time each fall for you to make benefit changes for the following calendar year, effective January 1. Enrollment or cancellation of participation in group medical, dental, cancer, intensive care, recovery plus, or accident insurance products may only be done during the open enrollment period. Eligible faculty/staff who reject or drop coverage may not enroll until the next open enrollment period unless qualified based on a change in family status. All completed open enrollment forms should be mailed to: Compensation & Benefits, One Bear Place #97052, Waco, TX 76798-7052. PLEASE RETAIN A COPY OF ALL FORMS SUBMITTED FOR YOUR RECORDS.
2010 Medical and Dental Plan Changes
Flexible Spending Accounts
Participation/continuation in flexible spending accounts requires annual enrollment.
FSA Participant Handbook(pdf
Flex-One Reimbursement Form (pdf)
To request reimbursement from your flexible spending account
Salary Redirection Agreement (pdf)
Required to enroll or re-enroll in the flexible spending account.
To add the group medical plan (BCBS/CVS CAREMARK): Employee Premiums
Medical Enrollment Application/Change Form
Life Insurance beneficiary would not be added to this form in Section 5. All other sections would be completed if applicable.
Salary Redirection Agreement
Adding medical coverage will add a deduction to your payroll check.
To cancel the group medical plan (BCBS/CVS CAREMARK): Medical Enrollment Application/Change Form
Skip Sections 4 through 9. All other sections would be completed.
Add/Drop Insurance Product
Note cancel BCBS medical plan on this form.
To add/cancel dependents to your group medical plan (BCBS/CVS CAREMARK): Medical Enrollment Application/Change Form
Life Insurance beneficiary would not be added to this form in Section 5. All other sections would be completed if applicable.
To add dependents to your DR dental plan:DR Premiums/PlanDR Dental Application/Change Form
List names of dependents to be added. Salary Redirection Agreement
Adding dependents to DR dental will add a deduction to your payroll check.
To cancel dependents from your DR dental plan: DR Dental Application/Change Form
List names of dependents to be canceled.
To change your dental provider from QCD to DR dental plan: DR Dental PlanDR Dental Application/Change Form
Add/Drop Insurance Product
Note cancel QCD dental and add DR dental. Salary Redirection Agreement
Adding dependents to DR dental will add a deduction to your payroll check.
To change your dental provider from DR dental to QCD dental plan:QCD of America
Red or White Plan and Enrollment Forms
Add/Drop Insurance Product
Note cancel DR dental and add QCD dental
2010 QCD Premium Schedule
Salary Redirection Agreement
Adding dependents to the White Plan will add a deduction to your payroll check.
To cancel Accidental Death & Dismemberment (AD&D), AFLAC products or Supplemental Term Life:Add/Drop Insurance Product
Note cancellation of the product you are canceling
To add Accidental Death & Dismemberment (AD&D), AFLAC products or Supplemental Term Life: Accidental Death & Dismemberment
Enrollment Form
Complete section for Voluntary Accident Insurance (VAI).
AFLAC Insurance Plans-Accident, Cancer, Specified Health Event, Intensive Care
Contact Compensation & Benefits, ext. 2218
Supplemental Term Life
Enrollment Forms
Applications are forwarded to Fort Dearborn Life's underwriting department for approval. Enrollment in the supplemental term life benefit can be requested during the calendar year.
Baylor Retirement Income Plan
Employees enrolled in the Baylor Retirement Income Plan are fully vested in Baylor sponsored retirement contributions, and may transfer these contributions between plan vendors at any time. Contact the Compensation & Benefits Office for more information.
2010 Maximum Benefit and Contribution Limit
2010 - 403(b) Maximum Limits for voluntary tax-deferred (TDA) retirement contributions
Age |
Limit |
15 Years of Service |
Over 50 Catch-up |
Possible Total |
49 and under |
$16,500 |
$3,000 |
- |
$19,500 |
50 and over |
$16,500 |
$3,000 |
$5,500 |
$25,000 |
2010 - 457(b) Maximum limit is $16,500.00.
• 457(b) Plan: 457(b) Salary Deferral Agreement
• 457(b)Application: 457(b) Employee Deferral Agreement
• To make changes to your 457(b) contributions: 457(b) Deferral Agreement Change Form
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