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Open Enrollment - Pre 65 Retirees

Open Enrollment

If you do not have changes you do not need to fill out this form, your current coverage will remain the same for the upcoming plan year.

Please make your selection for changes to your benefits enrollments effective January 1.

Things to Keep in Mind

  • If an individual has an HSA when he or she is ready to sign up for Medicare, they cannot contribute to the HSA. If an individual contributes to the HSA after Medicare coverage starts, he or she may have to pay a tax penalty. To avoid a tax penalty, six months prior to you turning 65 and signing up for Medicare, please notify Human Resources so DePauw may stop the employer’s contribution. 

  • Three months prior to you turning 65, you will need to sign up for Medicare Part A & B only. 

    • Link:  www.socialsecurity.gov

    • If you will be enrolling in the DePauw Medicare Supplement from AmWins, DO NOT sign up for Medicare Part D, DePauw’s supplement plan provides your Rx plan

  • One to two months prior to you turning 65, contact Human Resources to begin the process of transitioning to the Post-65 AmWins Retirement plan.

  • If you move, please be sure to keep Human Resources informed of any address changes.

If you need assistance, have questions or do not receive your new cards do not hesitate to reach out to: Brooke Baker, Benefits Administrator, 765.658.4135 or brookebaker@depauw.edu