Great Lake State Weekend is October 23-24. Find out more!
Open Enrollment is your annual opportunity to change your benefit coverage. Changes made during the year are only allowed if you have a Qualified Life Event. Two information sheets are linked below.
If you are not changing your medical plan and need to renew your HSA participation, you can use the HSA election form.
If you are not changing your medical plan and need to renew your FSA participation, you can use the FSA election form.
Open Enrollment begins November 2, 2026
Open Enrollment closes November 13, 2026
Register for “Choosing the Right Health Plan”
Summary of Plan Options
Traditional PPO Plan, 500/1000 Deductible and FSA
Document: AP Benefits at a Glance Traditional PPO-500 Plan
Document: Formulary: Traditional PPO-26 Plan (172)
PPO HD-17 Plan, 1750/3400 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-1750 Plan
Document: Formulary: PPO HD-17 Plan (108/109)
PPO HD-30 Plan, 3000/6000 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-3000 Plan
Document: Formulary: PPO HD-30 Plan (183/184)
PPO HD-63 Plan, 6350/12700 Deductible, HSA, and BenExtend
Document: AP Benefits at a Glance PPO HD-6350 Plan
Document: Formulary: PPO HD-63 Plan (157)
Dental & Vision Coverages
Document: AP Dental & Vision Benefits at a Glance
Active enrollment is required each year for HSA & FSA (medical and/or dependent care).
Document: HSA Contribution and Match Schedule for AP
Document: HSA Enrollment & Contribution Election Form
Send your completed form to HR.
Please note: If you’re enrolled in any part of Medicare (Parts A, B, or D), you are not eligible to make or receive HSA contributions. Please consult a Medicare expert and HR before changing coverage.
See Aflac, OE Support, and other information below!
Summary of Plan Options
PPO HD-17 Plan, 1750/3400 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-1750 Plan
Document: Formulary: PPO HD-17 Plan (108/109)
PPO HD-30 Plan, 3000/6000 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-3000 Plan
Document: Formulary: PPO HD-30 Plan (183/184)
PPO HD-63 Plan, 6350/12700 Deductible, HSA, and BenExtend
Document: ESP Benefits at a Glance PPO HD-6350 Plan
Document: Formulary: PPO HD-63 Plan (157)
Dental & Vision Coverages
Document: ESP Dental & Vision Benefits at a Glance
Active enrollment is required each year for HSA & FSA enrollment (dependent care).
Document: HSA Contribution and Match Schedule for ESP
Document: HSA Enrollment & Contribution Election Form
Please note: If you’re enrolled in any part of Medicare (Parts A, B, or D), you are not eligible to make or receive HSA contributions. Please consult a Medicare expert and HR before changing coverage.
Traditional PPO 250/500
Document: Faculty Benefits at a Glance PPO-250
Document: Formulary: Traditional PPO Custom Drug List
Dental & Vision Coverages
Document: Faculty Dental & Vision Benefits at a Glance
Active enrollment is required each year for FSA enrollment (medical and/or dependent care).
Return your completed form to HR.
See Aflac, OE Support, and other information below!
The BenExtend plan is provided by LSSU for those who are enrolled in one of the HD plans.
Video: BenExtend For HD Enrollments Overview
All employees have the option to voluntarily enroll in supplemental coverage plans offered by Aflac. Information on three plans is shared below.
Aflac LSSU – Critical Illness
Video: AFLAC Critical Illness Voluntary Plan
Aflac LSSU – Hospital Indemnity
Video: AFLAC Hospital Indemnity Voluntary Plan
Aflac LSSU – Accident
Video: AFLAC Accident Voluntary Plan
Form: Aflac Enrollment Form for Voluntary Employee Paid Plans
Explainer videos and handouts are available to help you better understand aspects of the plans and the open enrollment process.
Video: HSAs Explained
Document: Understanding FSAs and HSAs
Video: Traditional PPO compared to HD PPO Plans
Video: PPO Plans and HSA Strategy Explained
Video: Overview of LSSU Plans with Mike Hagerty
Video: How Medical Plans Work with Mike Hagerty
We are transitioning from Health Equity to Lively for FSA & HSA accounts. This change will allow us to access improved customer service and more efficient account management. See the following documents for more information.
Document: Lively: A Better Experience
Document: Lively: Transition FAQs
Document: Lively: Startup Guide
Retiree COBRA BCBSM Plan
Document: Benefits at a Glance Traditional PPO-500 Plan
Document: Retiree Dental / Vision Benefits at a Glance
If you have questions or need help with any aspect of Open Enrollment, feel free to contact the following:
Christine Coon
(616) 222-5462
[email protected]
Kyle Chestnut
(616) 222-1266
[email protected]
LSSU HR
(906) 635-2213
[email protected]
Micha Castro
210.757.4273
[email protected]
Lisa Mattern
210.348.4184
[email protected]
Walter Sprang
M 210.885.9301
[email protected]