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</head>
<body lang="EN-US" link="#0563C1" vlink="#954F72">
<div class="WordSection1">
<p class="xmsonormal" style="margin-bottom:12.0pt;line-height:105%;text-autospace:none">
<b><span style="line-height:105%;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
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<tbody>
<tr style="height:1.75in">
<td width="640" style="width:480.15pt;padding:0in 5.4pt 0in 5.4pt;height:1.75in">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif;mso-ligatures:none"><img width="612" height="245" id="_x0000_i1025" src="cid:image001.jpg@01DA06A5.90EB2130"></span><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
</td>
</tr>
<tr>
<td width="640" style="width:480.15pt;padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="mso-margin-top-alt:12.0pt;margin-right:0in;margin-bottom:12.0pt;margin-left:0in">
<span style="font-family:"Arial",sans-serif">October 25, 2023<o:p></o:p></span></p>
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" width="682" style="width:511.7pt;border-collapse:collapse">
<tbody>
<tr style="height:23.9pt">
<td width="65" style="width:49.1pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal" style="margin-left:-6.3pt;text-align:justify"><span style="font-family:"Arial",sans-serif">To:<o:p></o:p></span></p>
</td>
<td width="617" style="width:462.6pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Department Benefits Representatives<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:23.9pt">
<td width="65" style="width:49.1pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal" style="margin-left:-6.3pt;text-align:justify"><span style="font-family:"Arial",sans-serif">From:<o:p></o:p></span></p>
</td>
<td width="617" style="width:462.6pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Central HR Benefits Office on behalf of the UCPath Center<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:23.9pt">
<td width="65" style="width:49.1pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal" style="margin-left:-6.3pt;text-align:justify"><span style="font-family:"Arial",sans-serif">Re:<o:p></o:p></span></p>
</td>
<td width="617" style="width:462.6pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:23.9pt">
<p class="MsoNormal"><a name="_Hlk84571348"><b><span style="font-family:"Arial",sans-serif">UCPath Open Enrollment Options for 2024</span></b></a><b><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></b></p>
</td>
</tr>
</tbody>
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</td>
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<b><span style="line-height:105%;font-family:"Arial",sans-serif"><o:p> </o:p></span></b></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 (OE).<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">Open Enrollment Options<o:p></o:p></span></u></b></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><span style="font-family:"Arial",sans-serif">1) Self-Service Elections
<o:p></o:p></span></b></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"><span style="font-family:"Arial",sans-serif">Open Enrollment Events will be available for employees starting 8:00 a.m. on Thursday, October 26, 2023, and ending at 5:00 p.m. Friday, November 17, 2023 (Pacific Time).  We strongly encourage
 use of the self-service option by employees during the Open Enrollment period. <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">Events are configured by benefit eligibility level; therefore, they only allow election of plans for which employees are eligible, 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><span style="font-family:"Arial",sans-serif">2) Benefits eForm<o:p></o:p></span></b></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">The Benefits eForm will be included under the Open Enrollment category in the UCPath Forms Library. Employees may select “Benefit eForms: Open Enrollment” and choose “<b>2024 Open Enrollment</b>”
 from the Reason for Request option. Once this selection is made, employees will have the option to choose from the following categories:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="line-height:115%;mso-list:l0 level1 lfo1"><span style="line-height:115%;font-family:"Arial",sans-serif">Faculty/Staff Benefits<o:p></o:p></span></li><li class="MsoNormal" style="line-height:115%;mso-list:l0 level1 lfo1"><span style="line-height:115%;font-family:"Arial",sans-serif">Graduate Student Benefits
<o:p></o:p></span></li><li class="MsoNormal" style="line-height:115%;mso-list:l0 level1 lfo1"><span style="line-height:115%;font-family:"Arial",sans-serif">Medical Resident Benefits<o:p></o:p></span></li><li class="MsoNormal" style="margin-bottom:12.0pt;line-height:115%;mso-list:l0 level1 lfo1">
<span style="line-height:115%;font-family:"Arial",sans-serif">Postdoctoral Scholar Benefits<o:p></o:p></span></li></ul>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Each benefit program selection will open a Benefits eForm for the employee to add dependent(s) and make enrollment changes for plans that are available through the Open Enrollment period. Unlike
 the self-service option, the Benefits eForms are not configured by eligibility level, so all available plan options will display.<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><span style="font-family:"Arial",sans-serif">3) PDF Form<o:p></o:p></span></b></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"><span style="font-family:"Arial",sans-serif">Employees will have the option to submit an Open Enrollment PDF form. The OE forms for each benefit program, as well as the Leave without Pay options, will be housed in the UCPath Forms Library.<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 ways to submit the completed/signed PDF form to UCPath:<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" 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><span style="font-size:9.0pt"><o:p></o:p></span></b></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">Log in using Single Sign On (SSO)<o:p></o:p></span></p>
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</span></span></span><![endif]><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Click “Ask UCPath”<o:p></o:p></span></p>
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</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>
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</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>
<b>Topic</b>: Open Enrollment<br>
<b>Category</b>: Enrollment Form<o:p></o:p></span></p>
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</span></span></span><![endif]><b><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">Subject</span></b><span style="font-size:11.0pt;line-height:115%;font-family:"Arial",sans-serif;color:windowtext">: Type in “OE
 PDF Form - 2024 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 UCPath</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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</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 - 2024 Elections”<o:p></o:p></span></p>
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</span></span></span><![endif]><b><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 -2024 Elections," the form processing may be delayed.<o:p></o:p></span></b></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 UCPath:</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>
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<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 but should use the subject line: “<b>LWOP OE Form Submission</b>.”<o:p></o:p></span></p>
<p class="MsoNormal"><b><u><span style="font-family:"Arial",sans-serif">NOTE:</span></u></b><span style="font-family:"Arial",sans-serif">
<b>Forms received via UCPath Inquiry or e-mail after 5 p.m. (PT) on Friday, November 17, 2023, will be considered late enrollments and will require review for exception processing</b>. Forms that are mailed, must be postmarked no later than Friday, November
 17, 2023.</span><span style="font-size:9.0pt"><o:p></o:p></span></p>
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