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<div class="WordSection1">
<p class="MsoNormal"><img width="159" height="60" id="_x0000_i1025" src="cid:image001.jpg@01DA1869.116AB710"><o:p></o:p></p>
<p class="MsoNormal"><o:p> </o:p></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">November 16, 2023<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="723" style="width:542.5pt;border-collapse:collapse">
<tbody>
<tr style="height:19.4pt">
<td width="103" valign="top" style="width:76.95pt;padding:0in 5.4pt 0in 5.4pt;height:19.4pt">
<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="621" valign="top" style="width:465.55pt;padding:0in 0in 0in 0in;height:19.4pt">
<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">Department Benefits Representatives (DBRs)<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:19.95pt">
<td width="103" valign="top" style="width:76.95pt;padding:0in 5.4pt 0in 5.4pt;height:19.95pt">
<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="621" valign="top" style="width:465.55pt;padding:0in 0in 0in 0in;height:19.95pt">
<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">Central HR Benefits Office on behalf of UC Office of the President<o:p></o:p></span></p>
</td>
</tr>
<tr style="height:22.55pt">
<td width="103" valign="top" style="width:76.95pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 5.4pt 0in 5.4pt;height:22.55pt">
<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="621" valign="top" style="width:465.55pt;border:none;border-bottom:solid windowtext 1.0pt;padding:0in 0in 0in 0in;height:22.55pt">
<p style="margin-bottom:7.5pt;line-height:15.0pt"><b><span style="font-family:"Arial",sans-serif">Open Enrollment Handling Process for New Hires from 11-17-2023 to 12-31-2023 </span></b><span style="color:#1A475F"><o:p></o:p></span></p>
</td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal"><b><span style="font-family:"Arial",sans-serif">DBRs, please share this important information with your department via your internal listserv.<o:p></o:p></span></b></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif">Following are instructions for handling Open Enrollment requests for newly hired employees after the November 17th deadline. <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">Employees should submit an
<b><i>Open Enrollment Benefits eForm </i></b>to request enrollment after the end of 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">Employees should follow the steps outlined below:<o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">Log into UCPath at
</span><a href="http://ucpath.universityofcalifornia.edu/"><span style="font-family:"Arial",sans-serif">http://ucpath.universityofcalifornia.edu/</span></a><span style="font-family:"Arial",sans-serif"> and enter your Single Sign-On credentials<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">On the UCPath Dashboard, select the Open Enrollment option under Forms Library<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">Choose the Benefits eForm: Open Enrollment option<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">A new eForm will populate with your personal information. Based upon your benefits primary position, please select the corresponding benefit
program. The options provided are:<o:p></o:p></span></li><ol style="margin-top:0in" start="1" type="a">
<li class="MsoNormal" style="line-height:105%;mso-list:l1 level2 lfo2"><span style="font-family:"Arial",sans-serif">Faculty/Staff Benefits<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level2 lfo2"><span style="font-family:"Arial",sans-serif">Graduate Student Benefits<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level2 lfo2"><span style="font-family:"Arial",sans-serif">Medical Resident Benefits<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level2 lfo2"><span style="font-family:"Arial",sans-serif">Postdoctoral Scholar Benefits<o:p></o:p></span></li></ol>
</ol>
<p class="MsoListParagraph" style="text-indent:-.25in;line-height:105%;mso-list:l1 level1 lfo2">
<![if !supportLists]><span style="font-family:"Arial",sans-serif"><span style="mso-list:Ignore">5.<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Under the Reason for Request drop-down menu, select “<b>2024 Open Enrollment</b>”<o:p></o:p></span></p>
<ol style="margin-top:0in" start="6" type="1">
<li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">The Late Enrollment section will populate for all eForms submitted after the end of Open Enrollment Period. Please provide the following explanation:
“<b>New Hire - OE Late Enrollment Request</b>”, in the reason for late enrollment request comment.<o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo2"><span style="font-family:"Arial",sans-serif">Make your benefit elections and submit the eForm.
<o:p></o:p></span></li></ol>
<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">Employees who do not have computer access may fill out paper forms to request an Open Enrollment deadline exception. Employees must fill out the applicable Health Benefits Open Enrollment Form
(for Residents, Postdocs, or all other employees), and ensure the Late Enrollment section is completed with the following explanation,
</span><span style="font-family:"Arial",sans-serif">“<b>New Hire - OE Late Enrollment Request</b>”</span><span style="font-family:"Arial",sans-serif">.
<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">All of the applicable forms are in the UCPath Forms Library, but can also be accessed through the following links:<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="mso-list:l2 level1 lfo3"><b><span style="font-family:"Arial",sans-serif">Health Benefits Open Enrollment</span></b><span style="font-family:"Arial",sans-serif"> <o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><a href="https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-form.pdf"><span style="font-family:"Arial",sans-serif">https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-form.pdf</span></a><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l2 level1 lfo3"><b><span style="font-family:"Arial",sans-serif">Postdoctoral Scholar Health Benefits Open Enrollment Form
<o:p></o:p></span></b></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><a href="https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-form-postdoc.pdf"><span style="font-family:"Arial",sans-serif">https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-form-postdoc.pdf</span></a><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l2 level1 lfo3"><b><span style="font-family:"Arial",sans-serif">Unpaid Leave of Absence Open Enrollment Form
<o:p></o:p></span></b></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><a href="https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-lwop-form.pdf"><span style="font-family:"Arial",sans-serif">https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-lwop-form.pdf</span></a><span class="MsoHyperlink"><o:p></o:p></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l2 level1 lfo3"><b><span style="font-family:"Arial",sans-serif">Postdoctoral Scholar Unpaid Leave of Absence Open Enrollment Form
</span></b><b><o:p></o:p></b></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><a href="https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-postdoc-lwop-form.pdf"><span style="font-family:"Arial",sans-serif">https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-postdoc-lwop-form.pdf</span></a><span class="MsoHyperlink"><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></span></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="mso-list:l2 level1 lfo3"><b><span style="font-family:"Arial",sans-serif">Medical Resident Open Enrollment Form
</span></b><b><o:p></o:p></b></li></ul>
<p class="MsoNormal" style="margin-left:.5in"><span class="MsoHyperlink"><span style="font-family:"Arial",sans-serif">https://www.ucop.edu/ucpath-center/_files/mypath/oe/oe-medical-resident-form.pdf<o:p></o:p></span></span></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:"Arial",sans-serif"><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">Paper forms may be submitted in a variety of ways:<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:.5in"><b><span style="font-family:"Arial",sans-serif">Create an Inquiry in UCPath<o:p></o:p></span></b></p>
<p class="MsoListParagraphCxSpFirst" style="margin-left:1.0in;mso-add-space:auto;text-indent:-.25in;mso-list:l3 level1 lfo4">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">UCPath:
</span><a href="http://ucpath.universityofcalifornia.edu"><span style="font-family:"Arial",sans-serif">http://ucpath.universityofcalifornia.edu</span></a><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left:1.0in;mso-add-space:auto;text-indent:-.25in;mso-list:l3 level1 lfo4">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Log in using Single Sign On (SSO)<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left:1.0in;mso-add-space:auto;text-indent:-.25in;mso-list:l3 level1 lfo4">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Click Ask UCPath<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-left:1.0in;mso-add-space:auto;text-indent:-.25in;mso-list:l3 level1 lfo4">
<![if !supportLists]><span style="font-family:Symbol"><span style="mso-list:Ignore">·<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Select Submit An Inquiry
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in;text-indent:.5in"><span style="font-family:"Arial",sans-serif">Use the following drop-down selections:<o:p></o:p></span></p>
<p class="MsoListParagraphCxSpFirst" style="margin-left:1.5in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo5">
<![if !supportLists]><span style="font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Topic:
<b>Open Enrollment</b><o:p></o:p></span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left:1.5in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo5">
<![if !supportLists]><span style="font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Category:
<b>New Hire </b><u><o:p></o:p></u></span></p>
<p class="MsoListParagraphCxSpLast" style="margin-left:1.5in;mso-add-space:auto;text-indent:-.25in;mso-list:l0 level1 lfo5">
<![if !supportLists]><span style="font-family:"Courier New""><span style="mso-list:Ignore">o<span style="font:7.0pt "Times New Roman"">
</span></span></span><![endif]><span style="font-family:"Arial",sans-serif">Subject:
<b>New Hire -</b> <b>OE Late Enrollment Request</b><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><b><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in"><b><span style="font-family:"Arial",sans-serif">Email<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:"Arial",sans-serif">Email address:
</span><a href="mailto:ucpath@universityofcalifornia.edu"><span style="font-family:"Arial",sans-serif">ucpath@universityofcalifornia.edu</span></a><span style="font-family:"Arial",sans-serif"><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:"Arial",sans-serif">Email Subject:
<b>New Hire -</b> <b>OE Late Enrollment Request</b><o:p></o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:"Arial",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal" style="margin-left:.5in"><b><span style="font-family:"Arial",sans-serif">Postal Mail<o:p></o:p></span></b></p>
<p class="MsoNormal" style="margin-left:.5in"><span style="font-family:"Arial",sans-serif">14350-1 Meridian Pkwy<br>
Riverside, CA 92518</span></p>
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