Open Enrollment
Oct 20 - Oct 31

All open enrollment forms are due back to Human Resources no later than Friday October 31, 2025.

If you have any questions, please contact Michelle Low at michelle.low@colchestersd.org,
or Mary Crowley at Mary.Crowley@colchestersd.org.

What is Open Enrollment:

Open Enrollment is the event that enables you to elect or make changes to your benefits. After this open enrollment period is completed, generally you will not be allowed to change your benefit elections or add dependents until the next year's open enrollment period, unless you have a qualified status change.

How to Enroll, Re-Enroll or Make Changes:

The first step is to review your current benefit elections. Are you planning on enrolling in a benefit for the first time or make a change to your existing medical or dental plans? Have you updated your life insurance beneficiaries? Did you want to participate in Section 125 – Flexible Spending Health (FSA) or Dependent Care (DCA) this year?

• Open Enrollment Checklist
• Medical and/or Dental – New enrollment, addition, cancellation or changing plans requires an enrollment-change form to be completed. If you are not making any changes, your current elections will carry over to next year.
• Section 125, Health and/or Dependent Care Flexible Spending Account (FSA/DCA) – This is an annual election; you must fill this form out each year in order to participate.
• Voluntary Vision - new this year! Delta Vision enrollment form is required
• Voluntary Pet Insurance - Request quotes, enroll, and make payments online at https://wishboneinsurance.com/csdvt
• Group Life Insurance – For beneficiary changes, complete a beneficiary change form. If you would like to add or change your coverage amount, please contact Michelle Low.

When to Enroll:

The open enrollment period runs from Oct 20 - Oct 31. The benefits you elect during open enrollment will be effective beginning on January 1, 2026. All forms should be returned to HR no later than Friday October 31, 2025.

Open Enrollment Information:

• Open Enrollment Health Insurance Info - PDF
• Open Enrollment Health Insurance Info - Video

How to Contact Human Resources (HR):

Should you have any questions, please contact Michelle Low at 264-5976, michelle.low@colchestersd.org or Mary Crowley at 264-5980, Mary.Crowley@colchestersd.org.

The Forms:

All of the following forms are in Adobe Acrobat PDF format.

• Dental
  • Delta Dental Enrollment/Change Form
• Group Life Insurance
  • Life Insurance Beneficiary Designation Form
• Medical
  • Medical Enrollment/Change Form
  • HRA Enrollment Form
  • HSA Enrollment Form
• Flexible Spending (FSA) Health & Dependent Care (DCA) Reimbursement
  • Flexible Spending Election Form
• Vision
  • Delta Vision Enrollment Form

Plan Information and Documents:

• Dental
  • Outline of Coverage
  • Certificate of Coverage
  • HOW Summary of Enhanced Benefits
  • EyeMed Vision Discount
  • Benefit Lookup Flyer - Go Green
• HRA/HSA and Dependent & Health Care Flexible Spending
  • Healthy Dollars Plan Details
• Medical
  • VEHI-BCBS Medical Booklet