2011 Open Season Checklist for 2012 Plan Year 

Federal Flexible Spending 

Account Program 

(FSAFEDS) 

Federal Employees Dental and 

Vision Insurance Program 

(FEDVIP) 

Federal Emp

Benefits Pro

Materials You May Need 

9 Access to 

www.FSAFEDS.com 

9 Access to 

www.opm.gov/insure 

9 Guide to Federal Benefits 

www.opm.gov/insure/heal th/planinfo/guides/index.a sp) 

9 Want to read more about 

this Program? Go to www.opm.gov/insure and under “Quick Links” click on Federal Benefits FastFacts. 

9 Dental or vision plan 

brochure 

9 Guide to Federal Benefits 

www.opm.gov/insure/health/ planinfo/guides/index.asp) 

9 Access to 

www.opm.gov/insure 

9 Access to 

www.BENEFEDS.com and your password 

9 Want to read more about this 

Program? Go to www.opm.gov/insure and under “Quick Links” click on Federal Benefits FastFacts. 

9 Health plan bro

9 Guide to Federa

www.opm.gov/nfo/guides/inde

9 Access to www

9 Your password 

enrollment sysyour agency) 

9 Want to read m

Program? Go twww.opm.gov/“Quick Links” cBenefits FastFa

Getting Started 

9 Estimate what your 

annual health/dependent care out-of-pocket expenses run each year. 

9 If you have predictable 

dental or vision expenses for you or your family, first see whether your health insurance plan covers them. 

9 Check to see if 

plan is leaving year or if its sechanging. 

9 Check the prem

next year for yplan. 

Open Season runs from November 14 through December 12, 2011. 

The 2012 premiums will be available at www.opm.gov/insure in early October. 

The 2012 Plan Information section at www.opm.gov/insure will be available in early Novembe
FSAFEDS FEDVIP FE

Getting Started (Cont.) 

9

9

9

Check if your health, dental, or vision insurance coverage will be different next year. Review the FSAFEDS Juke Box at www.FSAFEDS.com for an extensive list of eligible expenses. 

Use the FSAFEDS calculator to help determine how much to set aside. 

9

9

If you are enrolled in a dental and/or vision plan, check the premium you will pay next year. If you are enrolled, review your current plan’s benefit brochure to see what changes were made for covered services and supplies. See if your out-ofpocket costs are changing. 

9 Review your cu

benefit brochurchanges were mservices and suout-of-pocket c

9 What is the be

plan for you – Health MaintenHigh Deductibl

Reviewing Your 9 An FSAFEDS account will reimburse eligible health 9 You can quickly compare dental and vision plans by 9 You can quic

plans by loo

Options care expenses for you, 

your spouse, and your dependents that are not covered or reimbursed by FEHB, FEDVIP, or other insurance, including reimbursing FEHB and FEDVIP copayments and deductibles (but not premiums). 

looking at Appendix I of the 

2012 Guide to Federal Benefits. For a more detailed review of different plans go to www.opm.gov/insure and use our “Compare Plans” tool or a tool provided by PlanSmartChoice. 

of the 2012 Benefits. Foreview of difgo to www.o

use our “Comtool or tools PlanSmartChCheckbook. 

Open Season runs from November 14 through December 12, 2011. 

The 2012 premiums will be available at www.opm.gov/insure in early October. 

The 2012 Plan Information section at www.opm.gov/insure will be available in early Novembe
 FSAFEDS FEDVIP FE

Reviewing Your 9 Dental and vision care are eligible expenses whether 9 Add up the premium and out-of-pocket costs for the 9 Consider enr

FSAFEDS ac

Options combined with FEDVIP plans that interest you. you for your (Cont.) coverage or not. 

9 The Dependent Care FSA 

reimburses eligible dependent care (nonmedical) expenses, covering expenses such as child care, before and after school care, and adult daycare. 

Determine whether this amount is more or less than what you expect to receive in benefits. Know the annual limits on what the plan will pay you. 

9 Consider enrolling in an 

FSAFEDS account to reimburse you for your outof-pocket dental and vision costs. 

health costs

If You Want to 9 You must re-enroll during the Open Season – your 9 You may enroll or make changes to your enrollment 9 Most agencies o

making change

Make a FSA enrollment does not online at Season: Change automatically carry over to the next year. Re-enroll 

at www.FSAFEDS.com or 

call 1-877-372-3337. 

www.BENEFEDS.com. You 

cannot do this through your agency’s self-service system or with a registration form. You will need your user ID and password or create a new account. You may also call BENEFEDS at 1-877-888-

3337. 

1. Through the 

self-service need your p

2. By submitti

Election Forsure you knthis form. 

Check with you

what it requires

Open Season runs from November 14 through December 12, 2011. 

The 2012 premiums will be available at www.opm.gov/insure in early October. 

The 2012 Plan Information section at www.opm.gov/insure will be available in early Novembe
FSAFEDS FEDVIP FE

If You Do Not Want to Make a 

9 You must re-enroll during 

the Open Season – your FSA enrollment does not 

9 If you are satisfied with your 

dental or vision insurance benefits and the price you 

9 If you are satis

health insurancprice you will p

Change automatically carry over to the next year. Re-enroll will pay next year, you do not have to do anything. do not have to 

enrollment will 

at www.FSAFEDS.com or Your enrollment will continue. call 1-877-372-3337. automatically continue. 

Open Season runs from November 14 through December 12, 2011. 

The 2012 premiums will be available at www.opm.gov/insure in early October. 

The 2012 Plan Information section at www.opm.gov/insure will be available in early Novembe