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Important Information Enrollment for the 2023 Plan Year Complete your bene昀椀t enrollment and submit complete dependent veri昀椀cation documentation within 30 calendar days of your new hire/new eligibility date (e.g. for a new hire date of May 1, enrollment and documentation deadline is May 30). If you meet the income guidelines, apply for the health plan premium reduction, Just Premium, within 30 calendar days of your eligibility date (see page 10 for details). Member Cards Team Members who enroll in the following bene昀椀ts will receive member identi昀椀cation cards: » Medical Cards – FMOLHS Health Plan through Blue Cross Blue Shield (BCBS) » Dental Cards – Delta Dental » Vision Cards – UNUM » Medical Flexible Spending Account (FSA)/Health Savings Account (HSA) – Pay昀氀ex Human Resources Contact Reach out using the method that works best for you: » Submit an Oracle Service Request by clicking on Help Desk/HR Service Requests.* » Email [email protected] » Call 833-4UaskHR (833-482-7547) *This is the fastest method for getting an answer to your question. Note If you (and/or your Dependents) have Medicare or will become eligible for Medicare in the next 12 months, a Federal law gives you more choices about your prescription drug coverage. Please see page 58 for more information concerning Medicare Part D coverage. 5

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