Your 2023 Enrollment Options Your enrollment options will be displayed in Oracle Employee Self-Service in the following order: NEW ENROLLEE FUTURE ENROLLEE BENEFIT PLAN FMOLHS HEALTH PLAN HEALTH SAVINGS ACCOUNT (HSA) MEDICAL FLEXIBLE SPENDING ACCOUNT (FSA) Team members who are within their 1st 30 Enroll through Oracle Employee Self-Service calendar days of eligibility may enroll through LIMITED MEDICAL FLEXIBLE SPENDING ACCOUNT (LUFSA) annually during the Open Enrollment period. FMOLHS DENTAL PLAN Oracle Employee Self-Service. VISION PLAN LINCOLN VOLUNTARY EMPLOYEE LIFE Team members who are within their 1st 30 For those outside of their 1st 30 calendar days of LINCOLN VOLUNTARY SPOUSE LIFE calendar days of eligibility may enroll through eligibility, enrollment in coverage is not available. LINCOLN VOLUNTARY DEPENDENT LIFE Oracle Employee Self-Service. Team members who previously waived Team members who are within their 1st 30 coverage must complete evidence of insurability LONG TERM DISABILITY calendar days of eligibility may enroll through online during the Open Enrollment period at Oracle Employee Self-Service. MyLincolnPortal.com for eligibility review. LINCOLN VOLUNTARY ACCIDENT Team members who are within their 1st 30 Enroll through Oracle Employee Self-Service calendar days of eligibility may enroll through LINCOLN VOLUNTARY CRITICAL ILLNESS annually during the Open Enrollment period. Oracle Employee Self-Service. COMPANY-PROVIDED GROUP LIFE INSURANCE Company-provided Basic Life Insurance Eligible Team members are automatically coverage. Team members do not need to enroll. enrolled in the Basic Life Insurance. GROUP BASIC LIFE (COMPANY-PAID) Team members do need to designate a Team members do need to designate a bene昀椀ciary in Oracle Employee Self Service. bene昀椀ciary in Oracle Employee Self Service. 403(b) AND 457(b) RETIREMENT ENROLLMENT PROCESS 403(b) AND 457(b) RETIREMENT PLANS Eligible Team members enroll at Eligible Team members enroll at LincolnFinancial.com/FMOLHS LincolnFinancial.com/FMOLHS You can verify your enrollment and print a copy of your elections in Oracle Employee Self Service by clicking on Me/Bene昀椀ts/My Bene昀椀ts. Note Most bene昀椀ts are effective on the 昀椀rst day of the month following 30 days of employment. Long Term Disability bene昀椀ts are effective 昀椀rst of the month following 6 months of employment. (New Hire date: March 5; bene昀椀ts are effective on October 1.) 3
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