2021 Open Enrollment Resource Center

Election window: November 2nd - November 19th

* All elections/changes made during Open Enrollment are effective 01/01/2021 *

Open Enrollment Meetings:

This year we will be doing a virtual presentation with some live Q&A sessions via Zoom. This will allow you to watch the presentation when you have the time and you can share it with family members. The presentation is about 14 minutes long and can be found here: Virtual Open Enrollment Presentation

An email will be sent out the day of with link and password to access the Q&A sessions. The link is also included here but will not be active until the day and time of the specific Q&A session. You will need the password from the email to access the session. Please send questions to fpsbenefits@fpsk12.net and join us for one of the following sessions:

Friday, November 6th from 3-4 p.m.

Friday, November 13th from 3-4 p.m.

Tuesday, November 17th from 4-5 p.m.

Benefits Q&A

Forms and Materials:

Open Enrollment Letter

2021 Benefit Guide

2021 HSA Guide

2021 Benefit Election Form

2021 Waive Medical Form

Dependent Information Form

HSA Change Request Form

BCBS/BCN Enrollment and Change Forms

2021 Quick Medical Comparison

Navia Flexible Spending:

Enrollment is done online using the Navia Participant Portal. Links will be active November 2nd. Enrollment must be submitted by November 19th. 

* You must designate an annual election every year to participate. *

FSA Online Enrollment Instructions

Navia FSA Enrollment Kit

Navia Dependent Care FSA Receipt for Services

Flexible Spending Worksheet

Website: https://www.naviabenefits.com/

Employer code: FAI

Employee ID = last 4 digits of your byte number

Unum Voluntary Life and Disability:

Print, complete and return enrollment/change forms to the Benefits Office by November 19th

The year will be considered a true open enrollment for coverage which means if you are applying for coverage for the first time after declining coverage initially, you will not be asked to provide any Evidence of Insurability. Yeah, no pesky health questions!! See the Open Enrollment presentation for more information or review the information below. If you were considering adding Voluntary Life or Short Term Disability coverage, this is the year to do it!

Voluntary Life:

Video: https://vimeo.com/367336948

• Voluntary Life Open Enrollment Summary of Coverage
• Voluntary Life OE Enrollment Form
• Voluntary Life Request for Change Form

Voluntary Short Term Disability (STD):

Video: https://vimeo.com/367336899

• Voluntary STD Open Enrollment Summary of Coverage
• Voluntary STD OE Enrollment Form
• Voluntary STD Request for Change Form