Mariani Enterprises

Table of Content

  1. Header
  2. Page
    1. Home
    2. Enroll
  3. How to Enroll
    1. Applications
    2. BCBS Enrollment Forms
    3. MoO Applications
    4. EBC
  4. Medical
    1. Blue Cross Blue Shield
    2. Educational Videos
  5. Dental & Vision
  6. Life Insurance
  7. Disability
  8. Employee Resources
    1. Blue Cross Blue Shield
    2. Mutual of Omaha
  9. Carrier Contacts
  10. Contact Us
  11. Footer



Introduction


Open Enrollment is your annual opportunity to review your benefit needs and make elections that are best for you. Coverage will continue with BlueShield of Illinois, Mutual of Omaha and EBC.


Open enrollment will be held from March 1st to March 8th this year.


Benefits Overview


Beginning April 1, 2024

Medical | BlueCross BlueShield of Illinois

Dental | Mutual of Omaha

Vision | Mutual of Omaha

Flexible Spending Account | EBC

Life and AD&D | Mutual of Omaha

Disability | Mutual of Omaha


Important Things to Know:


  • You will not be able to make changes outside of open enrollment unless you have a qualifying event (marriage, birth, divorce, etc.).
  • All benefits will be effective April 1st, 2024.

How to Enroll



To enroll in or change benefits please login to the UKG Portal using the green UKG enrollment button below.

  • After logging in UKG, go to "My Info" -> "My Benefits" -> "Enrollment" -> "Open Enrollment."


  • If you are having difficulties, download and complete the carrier enrollment forms, return the signed forms to HR.


NOTE: You are required to make a medical plan selection at open enrollment. If selecting the Blue Advantage HMO, you MUST designate a primary care physician for yourself, spouse and any dependents.


Click on the Provider Finder button below to search for a primary care physician

  • -Choose the BluePrint PPO OR ( BlueAdvantage HMO for Illinois residents only. )

Click on the Plan Selection button to log in and make your final selection in the UKG portal.

Applications

Blue Cross Blue Shield of Illinois
Enrollment Form

Blue Cross Blue Shield of IL

Enrollment Form (Spanish)

Blue Cross Blue Shield of IL

Mutual of Omaha
Enrollment Form (English)

Mutual of Omaha

Beneficiary Form (English)

Mutual of Omaha

Enrollment Form (Spanish)

Mutual of Omaha

Beneficiary Form (Spanish)

Mutual of Omaha

Employee Benefits Corporation
FSA Enrollment Form (English)

EBC

FSA Enrollment Form (Spanish)

EBC

Educational Videos
Mutual of Omaha

As an employee enrolled in Mutual of Omaha