2025 coverage if you don’t take action

If you take no action by November 5, 2024, your current 2024 elections will automatically carry forward to 2025 with the exception of your Benefit Bucks, HSA, FSA, PTO Purchase and Recharge Break elections.*

Benefit Your 2025 coverage if you make no changes
Medical
  • 2024 medical plan option and coverage level
  • 2024 tobacco-user status
  • 2024 working spouse/domestic partner status
Dental and Vision 2024 option and coverage level
Basic Life and AD&D 2 times your base pay; Company paid
Supplemental Life and Spouse Life 2024 coverage level at 2024 tobacco-user status
Supplemental AD&D, Child Life,
Short-term Disability, Long-term Disability and Legal Services Plan
2024 coverage level
Health Savings Account (if enrolled in CDHP and eligible for HSA)
  • No employee contribution — you must actively elect each year
  • No Company HSA contribution — you must make the minimum contribution to receive the Company contribution
Health Care FSA and Dependent (Day) Care FSA, PTO Purchase, Recharge Break No participation – you must actively elect each year
Benefit Bucks (if you’re enrolled in plans that are eligible for Benefit Bucks)

Your Benefit Bucks will automatically be applied to plans in this order:

  • Vision
  • Short-term disability Buy-up
  • Long-term disability Buy-up
Benefit Bucks (if you’re not enrolled in plans that are eligible for Benefit Bucks) Not allocated; remaining funds will be forfeited


Benefit Your 2025 coverage if you make no changes
Medical and Dental
  • 2024 medical and dental plan option and coverage level
  • 2024 tobacco-user status
  • 2024 working spouse/domestic partner status
Vision 2024 option and coverage level
Basic Life and AD&D 2 times your base pay; Company paid
Supplemental Life and Spouse Life 2024 coverage level at 2024 tobacco-user status
Supplemental AD&D, Child Life, Short-term Disability, Long-term Disability and Legal Services Plan 2024 coverage level
Health Savings Account (if enrolled in CDHP and eligible for HSA)
  • No employee contribution — you must actively elect each year
  • No Company HSA contribution — you must make the minimum contribution to receive the Company contribution
Health Care FSA and Dependent (Day) Care FSA, PTO Purchase, Recharge Break No participation – you must actively elect each year
Benefit Bucks (if you’re enrolled in plans that are eligible for Benefit Bucks) Your Benefit Bucks will automatically be applied to plans in this order:

  • Vision
  • Short-term disability Buy-up
  • Long-term disability Buy-up
Benefit Bucks (if you’re not enrolled in plans that are eligible for Benefit Bucks) Not allocated; remaining funds will be forfeited

* If you are a new hire and do not take action, you will be enrolled in the default coverage options, which may include a default of no coverage for a particular benefit. See Your 2025 Benefits GuideYour 2025 Benefits Guide for what happens if you don’t enroll.

NOTE: You cannot change your elections during 2025 unless you have a qualifying life event and make a new election within 31 days (90 days to submit a birth or adoption life event). If you have a qualifying life event, you can reallocate your unused Benefit Bucks, which will be prorated based on the number of pay periods left in the year.