Benefits Open Enrollment: Flexible Spending for CY2017

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Open Enrollment Period November 1 - 30, 2017

The Town of Gilbert is holding open enrollment for Flex Spending November 1 through November 30, 2016, for an effective date of January 1, 2017.  Last year's Flexible Spending enrollment does not carry forward, but ends on December 31, 2016. Therefore those choosing to participate for 2017 will need to enroll online during open enrollment.   All full time employees are eligible to participate.  The Fall Expo is scheduled for Tuesday, November 1, 2016 from 10:00 AM - 2:00 PM on the Civic Center Lawn of Muni I, at which employees may interact with the benefits staff (located in the lobby of Muni I) and get assistance with open enrollment and flexible spending information.

Open Enrollment Quick Reference

When is open enrollment? Tuesday, November 1 through Wednesday, November 30, 2016
What Benefits plans are covered by open enrollment? Flex Spending
What types of changes may be made as part of open enrollment? Participation in health and/or dependent care flexible spending
Who needs to submit any forms or enrollment elections? All benefit eligible employees choosing to participate must enroll online at
What is the effective date of changes submitted during open enrollment? January 1, 2017
When can I make changes outside of open enrollment? Election changes outside of open enrollment may only be made within 30 days of a qualifying event.  Qualifying events include marital status change, birth of a child, adoption or legal custody of a child.


Flexible Spending Resources - Open Enrollment November 1 - 30, 2016

Medical Resources

Health & Wellness Fair Flyer

Benefit Summary Full Time Civilian Employees

Benefit Summary Full Time Sworn Fire Employees

Benefit Summary Full Time Sworn Police Employees

Medical Overview FY 16-17

Medical Plan Summary of Benefits & Coverage (SBC)- Legacy Plan 

Medical Plan Summary of Benefits & Coverage (SBC)- Preferred Plan 

Medical Plan Summary of Benefits Description (SBD)- Legacy Plan 

Medical Plan Summary of Benefits Description (SBD)- Preferred Plan FY16-17

Medical Plan National Network Option FAQ

Dental Resources 

Dental Overview FY16-17

Delta Dental Benefit Summary FY16-17

Vision Resources 

Delta Vision Benefit Summary FY16-17

Additional Resources

Frequently Asked Questions

Employee Open Enrollment Session Presentation

Employee Open Enrollment Session Video


Medical Enrollment/Change Form

Medial Other Insurance Form (Part B)

Dental & Vision Enrollment/Change Form

Waiver Form (required if waiving medical or dental coverage)

Dependent Eligibility Verification Requirements

Prescription Mail Order Form 

Health Resources

Mayo Health Solutions Resources

Mayo Integrated Case Management

Preventive Service Items

Pharmacy Resources

Specialty Pharmacy Benefits

Prescription Drug Mail Order Benefits

 Prescription Drug Plan Benefits FY 16-17