2020 Benefits Open Enrollment runs from 12/09 - 12/26/19
Your date of hire and job title
SSN, date of birth and addresses of all enrolling
If applicable, Medicare ID number and effective date, current carrier name, policy number and start date, primary care physician information
NOTE: If supporting documents are required for your election/change, AND NO DOCUMENTION IS RECEIVED WITHIN 7 DAYS IN THE BENEFITS OFFICE, YOUR ELECTION/CHANGE WILL NOT BE APPROVED!
If enrolling a spouse – a copy of your marriage certificate must be provided within 7 days of your election.
If enrolling a domestic partner – a copy of State of California Certificate of Registration of Domestic Partnership must be provided within 7 days of your election.
If you have already created an account, login using the username and password that your created. If you are new to the system, Click on "Create Account" and follow the instructions for registration. to navigate the enrollment portal and complete your elections.
Click 2020 IRS Form W-4
* Employees who elect to change their withholdings on January 1, 2020 are required to submit a new 2020 IRS Form W-4 Employees who have submitted Form W-4 in any year before 2020 are not required to submit a new form merely because of the redesign. Employers will continue to compute withholding based on the information from the employee’s most recently submitted Form W-4.