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Employees & Retirees

CITY OF LINCOLN PARK INSURANCE OPEN ENROLLMENT
For Plan Year July 1, 2023, through June 30, 2024

It is now our annual open enrollment period.  This is the only time during the year that you can add eligible dependents that were not previously enrolled OR if you are not presently enrolled, you may enroll in coverage with an effective date of July 1, 2023.  The exception to this would be if you meet the criteria due to a qualifying event for a special enrollment.

Important information regarding open enrollment:  
Each employee is REQUIRED to complete the Enrollment/Waiver of Coverage Form each Plan Year. Failure to return the Enrollment/Waiver of Coverage form by Tuesday, June 6, 2023, may result in loss of coverage and loss of the In Lieu of (ILO) payment.

If you are opting out of coverage, you MUST provide proof of group coverage. Examples of acceptable items to supply:
  • A letter from the employer providing group coverage that lists enrolled members
  • A printout from your online health insurance portal that lists enrolled members
  • Please contact the Human Resources Department for other acceptable documents
The deadline to return the completed form to the Human Resources Department is Tuesday, June 6, 2023.  There will be no exception to this deadline.

If you would like to purchase Voluntary Life Insurance or increase the amount previously purchased, you will need to complete a medical questionnaire.  For additional information regarding this enrollment process, please contact Veronica Poremba, the City’s Benefit Agent at veronica.poremba@assuredpartners.com.  

If you have any questions or need additional information, please contact the Human Resources Department at (313) 386-1800, ext. 1221/1222, or Marian Trumpler of Assured Partners/Daly Merritt Insurance at 734-324-3252.
Thank you.
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Employees 19 documents
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document Header 2023 Blue Care Network Benefits at a Glance
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document Header 2023 Blue Care Network Rx Benefits at a Glance
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document Header 2023 Blue Cross Blue Shield Benefits at a Glance
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document Header 2023 Blue Cross Blue Shield Vision Benefits at a Glance
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document Header 2023 Employee Benefit Guide
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document Header 2023 Employee Benefit Guide Flip Booklet
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document Header 2023 Simply Blue HSA PPO Plan
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document Header 2023 Summary of Benefits and Coverage - Blue Care Network
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document Header 2023 Summary of Benefits and Coverage - Simply Blue HSA
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document Header 2023 Summary of Benefits and Coverage - Simply Blue PPO
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document Header Employee Change Form
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document Header Enrollment/Waiver of Coverage Form
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document Header Families First Coronavirus Response Act (FFCRA) Employee Rights
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document Header Basic FSA Guide
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document Header Flex Eligible List
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document Header FSA Enrollment Form 2023
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Retirees 64 documents
CAT:1344

2023 Medicare Eligible 20 documents

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document Header 2023 BCN Advantage Formulary
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document Header 2023 MA Option 1 BAAGS
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document Header 2023 MA Option 1 Enrollment Form
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document Header 2023 MA Option 2 BAAGS
file:1972
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document Header 2023 MA Option 2 Enrollment Form
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document Header 2023 MA Option 3 BAAGS
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document Header 2023 MA Option 3 Enrollment Form
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document Header 2023 Medicare Plus Comprehensive Formulary
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document Header Benefits at a Glance BCN
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document Header Medicare Eligible Selection Form 2023
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document Header Medicare Eligible Selection Form ENHANCED 2023
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document Header Option 1 Benefits at a Glance
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document Header Option 2 Benefits at a Glance
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document Header Option 3 Benefits at a Glance
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document Header Option 4 Enrollment Form for BCN
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document Header Acceptance Agreement & Release Form
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document Header Annual Notices 2023
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document Header Blue Care Network (BCN) Coverage While Traveling
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document Header Blue Care Network (BCN) Understanding the Referral Process
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document Header Blue Care Network Rx Benefits at a Glance
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document Header CMS Notice About Your RX Drug Coverage and Medicaid 2021
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document Header Health Care Reform FAQ Getting Lower Costs on Coverage
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document Header Health Care Reform: Enrolling in Health Insurance Marketplaces
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document Header Medicare Part D Notice 2023
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document Header Non Medicare Eligible Enrollment Form for Enhanced Benefits
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document Header Non-Medicare Eligible Retiree Coverage Selection Form July 2022
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document Header Open Enrollment for Enhanced Non-Medicare Eligible Retirees
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document Header Simply Blue 1500 Benefits at a Glance
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