Section 125 / Open Enrollment

Section 125 Plan Resources

• Section 125 Plan Year Considerations
• Section 125 Cafeteria Plan Memo
• Section 125 Cafeteria Plan Election Change Matrix
• Section 125 Cafeteria Plan Design Guide
• Section 125 Short Plan Year Early Renewal Considerations
• Section 125 Cafeteria Plan FAQs

Enrollment and Change Resources

• VEHI Group Numbering Methodology
• Blue Cross Group Contact Update Form
• BCBSVT - VEHI Group Enrollment Form - updated 9-24
• Request for Group Plan Roster Correction Form
• Group Membership Update - Excel 
• Group Membership Update - PDF
• BCBSVT - VEHI Statement of Domestic Partnership Form

Open Enrollment Resources

• Group Level HRA/HSA Vendor Change Form
• Open Enrollment Materials Checklist
• Sample Evergreen Open Enrollment Notice
• Sample Open Enrollment Timeline
• Blue Cross Group Contact Update Form
• Group Level HRA/HSA Vendor Change Form