Welcome to Open Enrollment!

This is your opportunity to enroll/disenroll in coverage for medical, dental, and/or vision, if eligible.  The deadline to upload your documents and enter your election change is 8:00pm May 24, 2023.

This is a multi-step process so here is what you can expect:

• Gather all required documentation and upload individually for review

  • If you do NOT have all the required documents gathered to upload, please click Cancel and revisit this page when all the required documents are assembled.

  • A list of required documents is below

  • Documents should be scanned and uploaded in a .pdf format but if you are unable to do so, taking a photo with a smart device and uploading them as a .bmp, .gif, .jpeg or .jpg, .png, or .tif image file is acceptable as well.

• An email is generated to you that the document(s) needs approval

• A benefits management representative will review them

  • If anything is missing, your agency human resources office will contact you to upload the missing documentation

  • If everything is uploaded correctly, the documents will be approved

• You will receive a second email to log back into myOhio and complete the enrollment process

  • You are not done until you 1) submit your elections and 2) click Complete two pages later

The changes to your health benefit elections will be effective July 1, 2023. The applicable third-party administrators, e.g., Medical Mutual or Anthem and Optum Rx, are notified of the enrollment change in early June.

Required Documents:

• To enroll yourself
  • The system requires a document be submitted when an election change is being made. Since you are enrolling in single coverage, the attachment must show the words "I am enrolling in Single Coverage" to satisfy the system requirement.

• To add an eligible Spouse:
  • Marriage Certificate or Abstract
  • Social Security Card
    • The system must reflect the name as it is currently filed with the Social Security Administration.
    • Please do not redact any of the numbers as the social security number must be entered into the system for the purposes of paying claims and validation with the IRS.
  • Proof of joint ownership (POJ)

Below is a list of acceptable secondary documents to verify the eligibility of a spouse for benefits coverage:

• Mortgage Statement

• Property Tax Statement

• Bank Statement

• Credit Card Statement

• Auto Loan / Insurance Statement

   

  Please note that separate statements with the employee’s name and another in the spouse’s name is acceptable as proof of an ongoing marriage if the statements are dated, or reflect a due date, within the last twelve months, and indicate the same mailing address.  For example, the following combination of documentation is acceptable for verification purposes: 

  
  Employee Bank Statement             Spouse Mortgage Statement
  Issue Date: June 1, 2022                Issue Date: July 1, 2022
  1234 Main Street                            1234 Main Street
  Columbus, Ohio 43215                   Columbus, Ohio 43215

• To add an eligible child under the age of 26:
  • Birth Certificate
  • Court documents with court signature and File Date showing that the employee or spouse has adopted the child OR become the legal guardian OR International adoption papers from country of adoption   
  • Papers from the adoption agency showing intent to adopt and/or placement in the home

AND

• Social Security Card

• To add an eligible child between the ages of 19 and 22 to dental and vision coverage:
  • Affidavit of Student Status (ADM_4729) plus one of the following:
    • A “Current Enrollment Verification Certificate” from the National Student Clearinghouse with dependent’s name, school name and semesters/quarters enrolled that include the current term. (http://www.studentclearinghouse.org/)
    • A letter from the registrar with the dependent’s name showing current enrollment. If the birthday occurs during a standard school break (e.g., summer), the letter from the registrar must show enrollment in the previous term.
    • An official transcript with the dependent’s name, school name, and semesters/quarters enrolled that include the current term. If the birthday occurs during a standard school break (e.g., summer), the transcript must show enrollment in the previous term. If the dependent is enrolled in their first semester/quarter of class, one of the above documents is required showing proof of current enrollment.

• To remove yourself and/or a dependent from coverage:

  • During open enrollment, there is no requirement to share why you are disenrolling or removing a dependent from coverage.  The attachment must show the words "I want to waive my coverage" or “I am removing (insert name or names) from coverage” to satisfy the system requirement.

Life Events - Document Upload

Instructions

You must submit the required documentation AND enter your election change within 31 calendar days of the change in status/qualifying event. Please cancel this request if you do not have all the required documentation for upload.  Lack of required documentation may result in your request being denied.

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