How to Enroll

2022 Annual Benefits Enrollment

Monday, October 25 at 8:00 a.m. through Monday, November 8, 2021, at 4:00 p.m.

WHAT YOU NEED TO DO:

Review the 2022 changes to make sure you understand how these will impact your personal situation. You are encouraged to actively enroll in the plan(s) and coverage tier that work best for you.

WHEN IS THE DEADLINE?

The Annual Enrollment begins Monday, October 25, at 8:00 a.m. CDT and ends Monday, November 8, at 4:00 p.m. CST.

WHY EVALUATE?

It’s your once-a-year opportunity to evaluate your options, understand the impact of the changes and make election changes. The changes will take effect on January 1, 2022, and remain in effect through December 31, 2022. If you do nothing, your elections will default as follows:

COVERAGE 2022 DEFAULT IF YOU DO NOT DECIDE TO MAKE A CHANGE

Medical

Dental Your 2021 Plan Election and Covered Members; if you are covering a spouse, the $100 monthly surcharge will apply unless you complete the 2022 spousal surcharge waiver.

Your 2021 Plan Election and Covered Members

Vision Your 2021 Plan Election and Covered Members

Flex Spending Account Health Care or Dependent Care

Health Savings Account $0 as you are required to re-enroll each plan year

$0 as you are required to re-enroll each plan year

HOW:

You can enroll in one of two ways: • Self-enroll online by going to marquettebenefitsenrollment.com. Step-by-step instructions can be found on the enrollment site. • Schedule a confidential, 30-minute phone appointment with a Benefits Educator by calling 1-877-759-7668.

Appointments can be scheduled starting October 18, 2021.

Steps to add new dependents (spouses and/or children) in medical, dental or visions plans: • Enter their Social Security numbers and dates of birth. You will not be able to complete your enrollment without this information. • Upload a copy of the marriage certificate and/or adoption/birth certificate for these dependents to the online enrollment tool by 4:00 p.m. CST on November 8, 2021.

Note: You do not need to re-upload certificates that were uploaded during a previous open enrollment period.

HOW TO UPLOAD MARRIAGE AND BIRTH/ADOPTION CERTIFICATES:

1. Visit marquettebenefitsenrollment.com and click on Enroll/View Your Benefits. 2. Click Edit My Profile > Employee File > View and Upload Documents. 3. On the file upload screen, select Document Type and create a Title of your document (i.e., my marriage certificate). 4. Click Choose File to browse and find the document on your desktop, click Open to attach. 5. Click the Save button.