information for cobra enrollees

Open Enrollment starts 8 a.m., October 31 and ends 5 p.m., November 22, 2012.

Because you elected to continue your University of California medical, dental, vision and/or wellness plans under the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA), you can make changes during UC’s Open Enrollment, with changes effective January 1, 2012.

This year, CONEXIS, UC’s COBRA administrator, will mail Open Enrollment information, 2012 rates and an enrollment form to all UC COBRA participants eligible to continue COBRA coverage on January 1, 2012.

You may make Open Enrollment changes via the CONEXIS website or by completing the enrollment form and returning it to CONEXIS.

Other Required Forms for Medicare-eligible Continuants
If you are transferring into or out of an HMO medical plan for Medicare enrollees you will need to call your new plan for additional Medicare requirements.

For More Information

• This website includes a wealth of information related to Open Enrollment, including the latest news on UC’s plans, 2012 plan changes, links to carrier websites, and more.
• The health plan carriers can mail plan materials to you. Be sure to call early to allow sufficient mailing time. You can also call them with questions about specific plan benefits.
• CONEXIS (1-877-722-2667) can answer your questions about completing the enrollment form.