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<div class="WordSection1">
<p class="MsoNormal"><o:p> </o:p></p>
<h1><img width="151" height="57" id="_x0000_i1025" src="cid:image001.png@01D8EE0D.33DB5F70"><o:p></o:p></h1>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">November 1, 2022<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="642" style="width:481.5pt;margin-left:-4.5pt;border-collapse:collapse">
<tbody>
<tr>
<td width="91" valign="top" style="width:68.3pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in">
<span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt">
<span style="font-family:"Arial",sans-serif">Department Benefits Representatives (DBRs)<o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="91" valign="top" style="width:68.3pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in">
<span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:5.3pt">
<span style="font-family:"Arial",sans-serif">HR Benefits Office on behalf of the UCPath Center<o:p></o:p></span></p>
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<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:3.0pt;margin-left:0in">
<span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
</td>
<td width="551" valign="top" style="width:413.2pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 0in 0in">
<p class="MsoNormal" style="mso-margin-top-alt:3.0pt;margin-right:0in;margin-bottom:6.0pt;margin-left:5.05pt">
<b><span style="font-family:"Arial",sans-serif">UCPath – Open Enrollment Options for 2023 </span></b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
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<p class="xmsonormal" style="text-autospace:none"><b><span style="font-family:"Arial",sans-serif"> </span></b><o:p></o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">This message outlines the methods by which employees may submit their elections during Open Enrollment.</span> <span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal"><b><u><o:p><span style="text-decoration:none"> </span></o:p></u></b></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">Self-Service Option
<o:p></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><o:p><span style="text-decoration:none"> </span></o:p></u></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Open Enrollment election options will be available for employees starting 8:00 a.m. on Thursday, October 27, 2022 and ending at 5:00 p.m. Friday, November 18, 2022 (Pacific Time). Employees
are strongly encouraged to use the online self-service option during the Open Enrollment period.
<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Open Enrollment election options are based on benefit eligibility level; therefore, only the benefit plans employees are eligible for will be available to elect, which improves accuracy and allows
for faster processing. <o:p></o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif"><o:p><span style="text-decoration:none"> </span></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">eBenefits Form Option<o:p></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><o:p><span style="text-decoration:none"> </span></o:p></u></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">UCPath is introducing the enrollment reason “2023 Open Enrollment” on the Benefits eForm.
<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">The Benefits eForm will be included under the Open Enrollment category in the UCPath Forms Library. Employees may select “Benefits eForms: Open Enrollment” and select “<b>2023 Open Enrollment</b>”
from the Reason for Request option. Once this selection is made, employees will have the option to select from the following categories:<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormalCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;line-height:115%;mso-list:l0 level1 lfo1">
<span style="font-family:"Arial",sans-serif">Faculty/Staff Benefits<o:p></o:p></span></li><li class="MsoNormalCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;line-height:115%;mso-list:l0 level1 lfo1">
<span style="font-family:"Arial",sans-serif">Medical Resident Benefits<o:p></o:p></span></li><li class="MsoNormalCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;line-height:115%;mso-list:l0 level1 lfo1">
<span style="font-family:"Arial",sans-serif">Graduate Student Benefits <o:p></o:p></span></li><li class="MsoNormalCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;line-height:115%;mso-list:l0 level1 lfo1">
<span style="font-family:"Arial",sans-serif">Postdoctoral Scholar Benefits<o:p></o:p></span></li></ul>
<p class="MsoNormalCxSpMiddle" style="margin-bottom:10.0pt;mso-add-space:auto;line-height:115%">
<span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Each benefit program selection will open an eBenefits Form for the employee to add dependent(s) and make enrollment changes for plans that are available through the Open Enrollment period.
<b><u>Unlike the online self-service option, the eBenefits forms are not configured by eligibility level, so all available plan options will display.</u></b><o:p></o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif"><o:p><span style="text-decoration:none"> </span></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">PDF Form Option<o:p></o:p></span></u></b></p>
<p class="MsoNormal"><b><u><o:p><span style="text-decoration:none"> </span></o:p></u></b></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Employees will have the option of submitting an Open Enrollment PDF form. The OE forms for each benefit program, as well as the Leave without Pay options, will be located in the UCPath portal
under the Forms Library link found on the left panel of the home page.<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">There are three (3) options to submit the completed/signed PDF form to UCPath:<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-left:.25in"><b><span style="font-family:"Arial",sans-serif">Submit an inquiry to UCPath:
</span></b><span style="font-family:"Arial",sans-serif"><a href="http://ucpath.universityofcalifornia.edu"><span style="color:windowtext">http://ucpath.universityofcalifornia.edu</span></a></span><span class="markedcontent"><b><o:p></o:p></b></span></p>
<p class="MsoListParagraphCxSpFirst" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.75in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Log in using Single Sign On (SSO)</span><span style="font-size:11.0pt;line-height:115%;color:windowtext"><o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.75in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Click
<b><span style="background:yellow;mso-highlight:yellow">Ask UCPath</span></b><o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="mso-margin-top-alt:0in;margin-right:0in;margin-bottom:0in;margin-left:.75in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Select Submit an Inquiry<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-bottom:0in;margin-bottom:.0001pt;mso-add-space:auto;text-indent:-.25in;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Use the following drop-down selections:<br>
Topic: Open Enrollment<br>
Category: Enrollment Form<br>
Subject: OE PDF Form-2023 Elections<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.25in"><b><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.25in"><b><span style="font-family:"Arial",sans-serif">Email to the UCPath Center</span></b><span style="font-family:"Arial",sans-serif">:
<a href="mailto:ucpath@universityofcalifornia.edu"><span style="color:windowtext">ucpath@universityofcalifornia.edu</span></a><o:p></o:p></span></p>
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<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">In the subject line, write: OE PDF Form-2023 Elections<o:p></o:p></span></p>
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<![if !supportLists]><span style="font-size:11.0pt;line-height:115%;font-family:Symbol;color:windowtext"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><i><u><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">If the subject line does not read "OE PDF Form-2023 Elections," the form processing may be delayed.<o:p></o:p></span></u></i></p>
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<span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext"><o:p> </o:p></span></p>
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<b><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Mail to the UCPath Center:</span></b><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">
<br>
14350-1 Meridian Parkway<br>
Riverside, CA 92518<o:p></o:p></span></p>
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<span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext"><o:p> </o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-left:0in;mso-add-space:auto"><b><u><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">NOTE:</span></u></b><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">
For Leave Without Pay Open Enrollment elections, employees may follow the processes listed above using the subject line:
<b>LWOP OE Form Submission</b>.<o:p></o:p></span></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">Forms received after 5 p.m. (PT) on Friday, November 18, 2022 will be considered as late enrollments</span></b><span style="font-family:"Arial",sans-serif">
<b>and UCPath may not approve and process the elections.</b> Forms that are mailed must be postmarked by Friday, November 18, 2022.</span></p>
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