Home Employee Benefits Retiree Benefits Retiree Open Enrollment 2024 Retiree Open Enrollment Explore This Section Retiree Benefits Retiree Open Enrollment Retiree Medical Plan Retiree Dental Plan Retiree Prescription Drug Plan Retiree Life Insurance October 15, 2023 through December 7, 2023 Open Enrollment Information Presentation Recording Presentation Slides (PDF) Medical Coverage Medical Guide (PDF) Plan Comparison (PDF) Premiums - Faculty/P&S/Supervisory Merit (PDF) Premiums - Merit (PDF) Wellmark Summary of Benefits BlueHMO Wellmark Summary of Benefits BluePPO Dental Coverage Dental Guide (PDF) Plan Comparison (PDF) Premiums (PDF) Prescription Drug Coverage Humana Rx Summary of Benefits (PDF) Express Scripts Summary of Benefits (PDF) Certificate of Creditable Coverage (PDF) Forms and Resources Principal Life Insurance Beneficiary Form (PDF) Medicare Website Wellmark EFT Withdrawal form (PDF) Delta Dental EFT Withdrawal form (PDF)