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Open Enrollment

Open Enrollment is your opportunity to review and make changes to your health plans. Open Enrollment begins Wednesday, November 2, 2016 until Friday, November 18, 2016. The deadline to submit changes to Human Resources is Friday, November 18 at 3:00pm and elections made will become effective January 1, 2017. 

If you decide that you do not want to make any changes, simply complete an Open Enrollment Change Notification Form - your 2016 open enrollment selections will roll over to 2017, at the new plan rates.

If you need computer access or additional support for these online resources, please contact our office and we will be happy to schedule an appointment for you.


Employer Contributions

The monthly contributions have increased to the amounts listed below, and the Forty-Niner Shops will contribute these amounts toward your total monthly premiums based on the coverage group you have selected from our plan options:

  • Employee Only — $607.78/month
  • Employee + One — $1,266.50/month
  • Employee + Family — $1,812.69/month

Medical Plan Options & Rates

To get started and to review the medical plan options available, we have centralized all the open enrollment information based on your coverage eligibility classification: