2018 Open Enrollment

Scroll down for Links to Forms
All forms may be emailed to DHR.Benefits@vermont.gov
Please DO NOT mail paper duplicates of emailed forms
Open Enrollment for 2018 runs November 1-30, 2017.  


Health Insurance Plan: This is your annual opportunity to enroll in the health plan, change the health plan option you are currently in, or add dependents (active employees only).  If you wish to make a change in your health plan option, now is the time to do so. All changes will become effective on January 1, 2018. If you take no action, your enrollment in the health plan will continue as is.

Flexible Spending Plan: This is also your annual opportunity to enroll/re-enroll in the Flexible Spending Plan. Please note that the IRS requires that you submit a new election form each year. If you take no action, you will NOT be enrolled in the program for 2018.

All applications and forms needed to make changes can be found in the Forms Section below. Highlights this year include:

Medical Premium Rates

There will be a 1.78% increase to your medical plan premium beginning January 2018. There will be no premium holidays this year.
Active Employees 2018 Health Benefits Premium Chart
Retired Employees 2018 Health Benefits Premium Chart

Flexible Spending Account Plans

Please note: Current participants of the FSA plan must re-enroll for 2018 per IRS regulations. Enrollment packets will not be mailed, so be sure to download the necessary forms, which can be accessed by clicking the link in the Forms Section below.

The health care flexible spending account (FSA) plan includes a provision that will allow participants to carry over up to $500 of unused contributions into the following plan year. If you have unused money left in your health care FSA, you can apply up to $500 of the leftover balance to the following plan year account. If you have never participated in a health care FSA, now is the time, as this is a great opportunity to sign up for at least $500 since you can avoid losing any unused funds with the $500 carryover provision. This plan allows you to have monies deducted from your paycheck on a pre-tax basis to pay for your out-of-pocket expenses, such as your $20 copays, uncovered dental expenses, glasses, etc. It works a lot like the Pre-tax Medical Premium Deductions. The money that you contribute to this account is deducted from your gross income first and then your taxes are calculated and deducted after that. Therefore, you are paying less in both federal and state taxes. To see your individual projected savings, go to: Savings Calculator

In addition, you can also have monies deducted on a biweekly basis to cover your child care expenses for your children under 13 years of age. These monies are also deducted on a pre-tax basis.

New this year:
The maximum amount that can be contributed to a Health Care Account is $2,650 per year. The Dependent Care Account maximum continues to be $5,000.


Life Insurance Premium Rates

There will be no change in the premium rate for 2018.

Benefit Fairs:

We will hold Benefits Fairs with representatives from BlueCross/BlueShield, Express Scripts, Invest EAP, ASIFlex Inc., Empower Retirement and the Vermont Higher Education Investment Plan at most, if not all the following locations:
11/02/17 – Rutland – Asa Bloomer Building, Merchants Row, 9:00 until 1:00
11/03/17 – Burlington - 108 Cherry Street, 2nd floor, 9:00 until 3:00
11/06/17 – Waterbury – 280 State Drive Center Building, 2nd floor, 9:00 until 3:00
11/07/17 – Montpelier – State House, Rooms 10 and 11, 9:00 until 3:00

Declaration of Health Coverage Forms

If you are an active employee and you are eligible to enroll in the State Employees’ Health Plan but have other health insurance coverage, you are required to submit a Declaration of Health Insurance Coverage Form.  A copy of this form can be found in the forms section.

Forms Section
(All forms may be emailed to DHR.Benefits@vermont.gov)

Active Employees:

Health Plan:
Medical/Dental Enrollment Form For Active Employees
Health Benefits Pre-Tax Premium Form (No annual re-enrollment required. Check paystub for current status.)
2018 Active Employee Health Premiums
Health Plan Comparison Chart
SelectCare Plan Summary of Benefits
TotalChoice Plan Summary of Benefits
2018 State of Vermont Preferred Drug List
Domestic Partner Application and Policy
Declaration of Health Coverage
Legislator Dental Enrollment Form
Flexible Spending:
2018 Flexible Spending Annual Election Form (Annual enrollment required.)
Flexible Spending Account Debit Card Form
Flexible Spending Booklet
Deferred Compensation Change Form
(Deduction changes are made immediately unless a specific pay period is identified.)

Retired Employees:

Health Plan:
Medical Enrollment Form for Retired Employees
2018 Retireed Employees Health Benefits Premiums
Health Plan Comparison Chart
SelectCare Plan Summary of Benefits
TotalChoice Plan Summary of Benefits
2018 Medicare Drug Formulary
2018 State of Vermont Preferred Drug List