Annual Enrollment Transfer Period

It is time to review your benefits and make changes for 2010. October 15 through November 16 is the Annual Enrollment Transfer Period (AETP). There have been significant changes to some of the insurance plans along with premium changes. Explanations of the changes can be found in the AETP newsletter and other information you will receive at your home and campus addresses.

What you should expect to receive in the mail:

What	When	Where
AETP Newsletter	Week of October 19	campus mail
Health plan handbook and directory for plan in which you are currently enrolled	Week of October 12	home
Assurant Benefits Prepaid Dental Plan handbook and directory mailed to current enrollees	Week of October 12	home
Delta Dental PDO handbook and directory mailed to employees not enrolled	Week of October 12	home
AETP Information Packet from state Benefits Administration (BA)	Week of October 12	home
2010 Flexible Benefits enrollment form and handbook	October 26	University e-mail
TN Consolidated Retirement System (TCRS) Statement (if you are a member)	Early November	campus mail

Handbooks and Directories

Directories: Each of the health and dental plans have their provider network directories available online. These lists are more up to date than their printed directories. Please follow the links through each of their Web pages to use the online directories. Copies can also be picked up from the Employee Benefits Office, 167 Administration Bldg.

BlueCross BlueShield, PPO: bcbst.com (select Network P)
CIGNA, POS: cigna.com
CIGNA, HMO: cigna.com
Assurant Employee Benefits: assurantemployeebenefits.com
Delta Dental: deltadentaltn.com/statetn

Handbooks: Links to handbooks for all insurance plans can be found at the Related Resources and Links web page.

Forms

What Can I Do?	Form(s) Needed	Special Notes
Health Insurance: Transfer, Cancel	Insurance Enrollment/Change Form HMO Primary Care Physician (PCP) form	PCP form required for CIGNA HMO, and must be submitted with enrollment/change form. If you are canceling your health insurance for you or any dependents, remember there are no open enrollment periods for health insurance.
Dental Insurance: Add, Transfer, Cancel	Insurance Enrollment/Change Form Prepaid plan primary care dentist selection form	Primary care dentist form required for Prepaid plan, and must be submitted with enrollment/change form.
Optional Term and Universal Life Insurance: Increase, Decrease amount of coverage, Request coverage, Cancel coverage	To increase coverage complete Supplemental Application To decrease coverage complete Customer Service Form To request coverage complete optional term and/or optional universal life enrollment forms along with a Supplemental Application To cancel coverage complete Customer Service Form All forms must be submitted to Employee Benefits.	If eligible for $5000 guaranteed increase, UNUM Provident will mail applications and new premiums to your home. Must return form to Employee Benefits.
Optional Special Accidental Death and Dismemberment: Add, Cancel	Enrollment/Change Form	Guaranteed coverage; no health evaluation needed.
Flexible Benefits: Waive tax-shelter of medical and/or dental premium, add dependent care and/or medical reimbursement accounts	2010 Flexible Benefits Enrollment Form 2010 Flexible Benefits Handbook	Must make these elections every year.
Long-term Disability: Add, Change Level	Enroll/change form (biweekly employees) Enroll/change form (monthly employees) Health evaluation form	Must complete health evaluation to add or increase level.
Supplemental Retirement Accounts: Enroll, Change, Cancel	401(k) enrollment and change forms 403(b) enrollment and change forms 457 enrollment and change forms	Can enroll and make changes anytime of year; not subject to annual enrollment period.
Sick Leave Bank: Enroll	Non-faculty sick leave bank enrollment form Faculty sick leave bank enrollment form	Can enroll anytime of year; not subject to annual enrollment period.