There are 4 health insurance plans to choose from. The benefits department staff cannot advise you on which plan to choose. You can review which plan is best for you by visiting the BTF Benefit page, or by calling Highmark and speaking to a dedicated BBOE representative or by reviewing the presentation -> BTF Highmark Webinar Presentation

There are four (4) options for choices for Open Enrollment. Select one that applies to you.

Option #1 - I am changing my health insurance plan but am not adding/removing a dependent

Employee ID # and Highmark card are needed to complete this form.

Option #2 - I am adding/removing a dependent to my health insurance.

Employee ID # and SSN and DOB are needed to complete this form.
Eligibility documentation required. Your application will be declined for failure to attached documentation (i.e. - birth certificate, marriage certificate). These documents are required to show eligibility.
Consider updating your life insurance beneficiary.

Option #3 - I am adding/removing a dependent to my health insurance and changing my insurance plan

Employee ID # and SSN and DOB are needed to complete this form.
Eligibility documentation required. Your application will be declined for failure to attached documentation (i.e. - birth certificate, marriage certificate). These documents are required to show eligibility.
Consider updating your life insurance beneficiary.

Option #4 - I am not currently enrolled in health insurance and would like to enroll effective 1/1/2026

Employee ID # and SSN and DOB are needed to complete this form.
Eligibility documentation required if enrolling in family coverage. Your application will be declined for failure to attached documentation (i.e. - birth certificate, marriage certificate). These documents are required to show eligibility.
Review what plans are available to you at the BTF webpage linked above
Health Insurance bi-weekly deductions
There is no difference in the bi-weekly payroll contribution based on the plan you select. Health contributions are based on your FTE (% of full-time employment) and will be taken pre-tax over 18 payrolls during the school year only. The chart below illustrates what a typical bi-weekly deduction will be for the various plans based on 12 months of insurance.

To review the bi-weekly cost based on FTE - click HERE

Life-Changing Events include marriage, divorce, birth, adoption, death, and/or when a child obtains their own insurance. You must complete a packet and submit it to the Benefits Office within 30 days to update your enrollment.

BUFFALO

BTF (Part-time) Open Enrollment

HEALTH INSURANCE • FLEXIBLE SPENDING

1. Health Insurance

2. Flexible Spending Account