Introduction

Open Enrollment is your annual opportunity to review your benefit offerings and make any needed changes for the upcoming year. We are pleased to announce that we are renewing with our current carriers December 1, 2021. Open enrollment will be held from November 16 to November 22.


Important Things to Know:

  • If you do not wish to make changes to your current coverage, no action is needed.
  • You will not be able to make changes outside of open enrollment unless you have a qualifying event (marriage, birth, divorce, etc).
  • All changes will be effective December 1st, 2021.

Benefits Overview

Medical | Anthem

Dental | Mutual of Omaha

Vision | Lensabl

Basic Life and AD&D | Mutual of Omaha

Voluntary Life and AD&D | Mutual of Omaha

Long Term Disability | Mutual of Omaha

Anthem Silver PPO 2000

Anthem Silver PPO 2000

Anthem Gold PPO 35

Anthem Gold PPO 35

Anthem Silver Select HMO 55

Anthem Silver Select HMO 55

Anthem Gold Select HMO 35

Anthem Gold Select HMO 35

Mutual of Omaha Dental

Mutual of Omaha Dental

Mutual of Omaha Basic Life and AD&D

Mutual of Omaha Basic Life and AD&D

Mutual of Omaha Voluntary Life and AD&D

Mutual of Omaha Voluntary Life and AD&D

Mutual of Omaha LTD

Mutual of Omaha LTD

How To Enroll

If you'd like to change your existing coverage or make new elections during open enrollment, you must do so by November XX by completing the appropriate carrier form located below.


Please Note: You will not be able to make changes outside of open enrollment unless you have a qualifying event (marriage, birth, divorce, etc).

Anthem Enrollment Change Form

Anthem Enrollment Change Form

Mutual of Omaha Enrollment Change Form

Mutual of Omaha Enrollment Change Form

Benefit Videos

Contact Us

Annie Yang

Finance@thepencilgrip.com

310-315-3545