<html xmlns:v="urn:schemas-microsoft-com:vml" xmlns:o="urn:schemas-microsoft-com:office:office" xmlns:w="urn:schemas-microsoft-com:office:word" xmlns:dt="uuid:C2F41010-65B3-11d1-A29F-00AA00C14882" xmlns:m="http://schemas.microsoft.com/office/2004/12/omml" xmlns="http://www.w3.org/TR/REC-html40">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=us-ascii">
<meta name="Generator" content="Microsoft Word 15 (filtered medium)">
<!--[if !mso]><style>v\:* {behavior:url(#default#VML);}
o\:* {behavior:url(#default#VML);}
w\:* {behavior:url(#default#VML);}
.shape {behavior:url(#default#VML);}
</style><![endif]--><style><!--
/* Font Definitions */
@font-face
{font-family:Wingdings;
panose-1:5 0 0 0 0 0 0 0 0 0;}
@font-face
{font-family:"Cambria Math";
panose-1:2 4 5 3 5 4 6 3 2 4;}
@font-face
{font-family:Aptos;}
/* Style Definitions */
p.MsoNormal, li.MsoNormal, div.MsoNormal
{margin-top:0in;
margin-right:0in;
margin-bottom:8.0pt;
margin-left:0in;
line-height:115%;
font-size:12.0pt;
font-family:"Aptos",sans-serif;
mso-ligatures:standardcontextual;}
a:link, span.MsoHyperlink
{mso-style-priority:99;
color:#467886;
text-decoration:underline;}
.MsoChpDefault
{mso-style-type:export-only;
font-size:12.0pt;}
.MsoPapDefault
{mso-style-type:export-only;
margin-bottom:8.0pt;
line-height:115%;}
@page WordSection1
{size:8.5in 11.0in;
margin:.3in .3in .1in .3in;}
div.WordSection1
{page:WordSection1;}
/* List Definitions */
@list l0
{mso-list-id:780031873;
mso-list-template-ids:1975036072;}
@list l0:level1
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level2
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:1.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:"Courier New";
mso-bidi-font-family:"Times New Roman";}
@list l0:level3
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:1.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level4
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:2.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level5
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:2.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level6
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:3.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level7
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:3.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level8
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:4.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l0:level9
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:4.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l1
{mso-list-id:917635248;
mso-list-template-ids:42883778;}
@list l1:level1
{mso-level-start-at:5;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;}
@list l2
{mso-list-id:1618876685;
mso-list-template-ids:2062837416;}
@list l2:level1
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l2:level2
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:1.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:"Courier New";
mso-bidi-font-family:"Times New Roman";}
@list l2:level3
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:1.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level4
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:2.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level5
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:2.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level6
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:3.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level7
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:3.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level8
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:4.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l2:level9
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:4.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l3
{mso-list-id:1695380768;
mso-list-template-ids:648413980;}
@list l4
{mso-list-id:1703818699;
mso-list-template-ids:-101944892;}
@list l4:level1
{mso-level-number-format:bullet;
mso-level-text:\F0B7;
mso-level-tab-stop:.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Symbol;}
@list l4:level2
{mso-level-number-format:bullet;
mso-level-text:o;
mso-level-tab-stop:1.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:"Courier New";
mso-bidi-font-family:"Times New Roman";}
@list l4:level3
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:1.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level4
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:2.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level5
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:2.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level6
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:3.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level7
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:3.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level8
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:4.0in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
@list l4:level9
{mso-level-number-format:bullet;
mso-level-text:\F0A7;
mso-level-tab-stop:4.5in;
mso-level-number-position:left;
text-indent:-.25in;
mso-ansi-font-size:10.0pt;
font-family:Wingdings;}
ol
{margin-bottom:0in;}
ul
{margin-bottom:0in;}
--></style><!--[if gte mso 9]><xml>
<o:shapedefaults v:ext="edit" spidmax="1026" />
</xml><![endif]--><!--[if gte mso 9]><xml>
<o:shapelayout v:ext="edit">
<o:idmap v:ext="edit" data="1" />
</o:shapelayout></xml><![endif]-->
</head>
<body lang="EN-US" link="#467886" vlink="#96607D" style="word-wrap:break-word">
<div class="WordSection1">
<table class="MsoNormalTable" border="0" cellspacing="0" cellpadding="0" style="border-collapse:collapse">
<tbody>
<tr style="height:21.55pt">
<td colspan="2" valign="top" style="padding:0in 5.4pt 0in 5.4pt;height:21.55pt">
<p class="MsoNormal"><img width="183" height="70" id="Picture_x0020_2" src="cid:image001.png@01DC5893.2ACFF1E0" alt="A blue text on a black background
AI-generated content may be incorrect."></p>
</td>
</tr>
<tr style="height:21.55pt">
<td colspan="2" valign="top" style="padding:0in 5.4pt 0in 5.4pt;height:21.55pt">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>November 18, 2025<o:p></o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
</td>
</tr>
<tr style="height:.2in">
<td width="78" valign="top" style="width:58.5pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">To: </p>
</td>
<td width="680" valign="top" style="width:510.3pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Department Benefits Representatives (DBRs)</p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
</td>
</tr>
<tr style="height:.2in">
<td width="78" valign="top" style="width:58.5pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal">From: </p>
</td>
<td width="680" valign="top" style="width:510.3pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Central HR Benefits Office on behalf of UC Office of the President</p>
</td>
</tr>
<tr style="height:.2in">
<td width="78" valign="top" style="width:58.5pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal">Re: </p>
</td>
<td width="680" valign="top" style="width:510.3pt;padding:0in 5.4pt 0in 5.4pt;height:.2in">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Open Enrollment Exception Handling Process</p>
</td>
</tr>
<tr style="height:19.75pt">
<td colspan="2" valign="top" style="padding:0in 5.4pt 0in 5.4pt;height:19.75pt">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">____________________________________________________________________________________________________</p>
</td>
</tr>
<tr>
<td colspan="2" valign="top" style="padding:0in 5.4pt 0in 5.4pt">
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b>DBRs, please share this information via your internal listserv.
<u>Do not reply to this email.</u> Please send a separate email with questions to
</b><a href="mailto:benefits@ucr.edu"><b>benefits@ucr.edu</b></a><b>.<o:p></o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><b><o:p> </o:p></b></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">The Open Enrollment portals in UCPath will close at 5 p.m. on Friday, November 21, 2025.
</p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><o:p> </o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Forget to update your benefits or your 2026 Flexible Spending contribution during Open Enrollment?? Requests for exceptions to the deadline should be sent to the UCPath Center, as described
below.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Faculty and Staff should submit an <b><i>Open Enrollment Benefits eForm </i></b>to request late enrollment after the end of the Open Enrollment period. Please note that submission of an Open
Enrollment deadline <b>exception request does not constitute automatic approval</b>. All forms received after November 21, 2025, at 5 p.m. will be reviewed for extenuating circumstances prior to approval or denial.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"><u>Request for Exception for Open Enrollment</u>:<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<ol style="margin-top:0in" start="1" type="1">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l3 level1 lfo3">
Log into UCPath at <a href="http://ucpath.universityofcalifornia.edu/" target="_blank">http://ucpath.universityofcalifornia.edu/</a> and enter the Single Sign-On credentials<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l3 level1 lfo3">
On the UCPath Main Menu, select Benefits & Retirement <o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l3 level1 lfo3">
Under Forms, select Benefits Request eForm<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l3 level1 lfo3">
Click on Submit, a new eForm will populate with the member’s personal information</li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l3 level1 lfo3">
<o:p> </o:p></li></ol>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Member to enter the following:<o:p></o:p></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level1 lfo4">
Event Date: 01/01/2026<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level1 lfo4">
Select the benefits program, based on the employee’s benefits-primary position. The options provided are:<o:p></o:p></li><ul style="margin-top:0in" type="circle">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level2 lfo4">
Faculty/Staff Benefits<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level2 lfo4">
Graduate Student Benefits<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level2 lfo4">
Medical Resident Benefits<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level2 lfo4">
Postdoctoral Scholar Benefits<o:p></o:p></li></ul>
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l0 level1 lfo4">
Reason for Request: Annual Open Enrollment<o:p></o:p></li></ul>
<ol style="margin-top:0in" start="5" type="1">
<li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l1 level1 lfo5">
The Late Enrollment section will populate. Member must complete the <b>Reason For Late Enrollment Request</b> comment section by providing a detailed explanation for the request for late enrollment and the reason provided will be considered in the decision
to approve or deny the enrollment request.<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l1 level1 lfo5">
Make benefit plan elections.<o:p></o:p></li><li class="MsoNormal" style="margin-bottom:0in;line-height:normal;mso-list:l1 level1 lfo5">
Submit the eForm.<o:p></o:p></li></ol>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Once the Open Enrollment eForm has been reviewed by the UCPath Center, a follow-up email will be sent indicating if the enrollment request has been approved or denied.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Members who do not have computer access should contact the UCPath Center at <b>1-855-982-7284</b> for assistance.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">UCPath has a dedicated, experienced team reviewing the exception requests, in collaboration with Health & Welfare Benefits.<o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal"> <o:p></o:p></p>
<p class="MsoNormal" style="margin-bottom:0in;line-height:normal">Please note that in the event an OE deadline exception for a medical plan change is approved after January 1, 2026, for a reason other than UC administrative error, the employee’s medical plan
premiums must be paid on a post-tax basis (i.e., “no TIP”) for the entire 2026 plan year, in accordance with IRS regulations. In addition, it will be the employee’s responsibility to re-enroll in TIP for 2027. The UCPath Center will notify members of this
requirement if the request is approved after the plan year begins.</p>
</td>
</tr>
<tr style="height:.2in">
<td colspan="2" valign="top" style="padding:0in 5.4pt 0in 5.4pt;height:.2in"></td>
</tr>
</tbody>
</table>
<p class="MsoNormal"><o:p> </o:p></p>
</div>
</body>
</html>