COBRA OPEN ENROLLMENT FOR 2025 BENEFITS
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IMPORTANT OPEN ENROLLMENT INFORMATION
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WELCOME TO OPEN ENROLLMENT!
November 12th - November 30th, 2024
This Open Enrollment period is your opportunity to make changes to your 2025 COBRA Continuation Coverage benefit elections. Please carefully review the important benefit and rate information on this webpage. A PDF viewer is required to view the documents posted.
If you do not wish to make any benefit changes, you do not need to do anything.
Your COBRA benefits will remain unchanged if BCC does not receive a 2025 COBRA Enrollment Form. New 2025 plan premiums outlined in the 2025 COBRA Rate Sheet are effective January 1, 2025.
If you wish to make changes to your 2025 COBRA benefits:
1. Download, complete, and sign the 2025 COBRA Enrollment Form.
2. Submit the form to BCC by mail no later than November 30th:
BCC, Attn: COBRA OE
Two Robinson Plaza, Ste. 200
Pittsburgh, PA 15205
3. BCC will process your changes and new 2025 plan premiums will be effective January 1, 2025.
Enrollment Forms must be postmarked by November 30, 2024 to be processed.
QUESTIONS?
If you experience any issues with these documents or if you have any questions, please contact BCC's Customer Service Call Center at 800-685-6100 or customersupport@benxcel.com. Representatives are available Monday through Thursday from 8:00am - 8:00pm ET (5:00am - 5:00pm PT) and Friday from 8:00am - 6:00pm ET (5:00am - 3:00pm PT).
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FORMS
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2025 COBRA Open Enrollment Form
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RATES
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2025 COBRA Rate Sheet
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BENEFIT INFORMATION
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Enrollment
2025 Benefits Booklet
Medical
Aetna HMO Benefit Summary
Aetna Traditional Choice Benefit Summary
Aetna OA Managed Choice POS Benefit Summary
Aetna HMO Benefit Summary - California
Aetna Traditional Choice Benefit Summary - California
Aetna OA Managed Choice POS Benefit Summary - California
Dental
Delta Dental Benefit Summary
Vision
VSP Member Benefit Summary
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