BAL 21-401 Attachment 1: Sample Email to Employees 

The Federal Benefits Open Season runs from Monday, November 8 – Monday, December 13, 2021. During this period, you have the opportunity to enroll, 

change plans or plan options, change enrollment type, or cancel enrollment for the Federal Employees Health Benefits (FEHB) Program and the Federal 

Employees Dental and Vision Insurance Program (FEDVIP). You also have the opportunity to re-enroll or newly enroll in the Federal Flexible Spending Account 

(FSAFEDS) Program. Please review the chart below to learn more about your options during this Open Season. 

Please note that the 2021 Open Season information, including premiums and plan brochures, will be posted on the OPM website at www.opm.gov/openseason

by early November. 

Program What can I do during 

Open Season? 

What if I do nothing? What should I know? How do I enroll or make a change 

to my enrollment? 

Effective date

of enrollment 

or change 

FEHB • Enroll

• Change plans

• Change plan

options

• Change

enrollment type

(to Self, Self Plus

One, or Self and

Family)

• Cancel coverage

Your current 

coverage will 

automatically 

continue. You do not 

need to take any 

action if you are 

satisfied with your 

current FEHB plan. 

However, you must 

change plans if your 

plan has ended 

coverage in your area 

or your plan is 

terminating 

participation in the 

FEHB Program. 

Visit

www.opm.gov/openseason

to get more information 

about plans available in 

your area. 

Visit www.opm.gov/healthcareinsurance/healthcare/enrollment/ 

for instructions. 

The first day of 

the first pay 

period that 

begins on or 

after January 1, 

2022 and which 

follows a pay 

period during 

any part of 

which you (if an 

employee) are 

in pay status 

FEDVIP • Enroll

• Change plans

• Change plan

options

• Change

enrollment type

(to Self, Self Plus

One, or Self and

Family)

• Cancel coverage

Your current 

coverage will 

automatically 

continue. You do not 

need to take any 

action if you are 

satisfied with your 

current FEDVIP plan. 

Visit 

www.opm.gov/healthcareinsurance/dental-vision/ 

or www.benefeds.com for 

more information about 

eligibility and enrollment. 

Visit www.benefeds.com or call 

877-888-FEDS

(877-888-3337)

TTY: 877-889-5680

International: +1-571-730-5942

Customer Service is open Monday 

through Friday from 9 a.m. to 7 

p.m. Eastern Time.

January 1, 2022 
Program What can I do during 

Open Season? 

What if I do nothing? What should I know? How do I enroll or make a change 

to my enrollment? 

Effective date

of enrollment 

or change 

FSAFEDS • Enroll/Reenroll in

Health Care FSA

(HCFSA), Limited

Expense Health

Care FSA (LEX

HCFSA), and

Dependent Care

FSA (DCFSA)

Your election will not

automatically 

continue. You must 

reenroll to continue 

your account(s) for 

the next benefit year. 

Note: A condition of 

being eligible to carry 

over unused funds 

from this plan year’s 

HCFSA or LEX HCFSA 

is re-enrolling in 

either of these two 

plans in the 

subsequent year. 

DCFSAs are ineligible 

for carryover. 

Visit www.fsafeds.com for 

more information on 

eligibility and enrollment.

Currently the minimum 

annual election amount for 

all FSAFEDS accounts is 

$100. The contribution 

maximum for the Health 

Care or Limited Expense 

Health Care FSAs is $2,750 

per participant. The 

maximum for the 

Dependent Care FSA is 

$5,000 per family. 

The contribution 

maximums for Flexible 

Spending Accounts are 

determined by the Internal 

Revenue Service and are 

subject to change. If 

FSAFEDS adopts new 

maximums, notification will 

be provided on 

www.opm.gov/openseason

Visit www.fsafeds.com or call 877-

FSAFEDS (877-372-3337), TTY 

Line: 866-353-8058

Benefits Counselors are available 

Monday through Friday from 9 a.m. 

until 9 p.m. Eastern Time. 

Verify your account login now to 

save time when you are ready to 

make your 2022 elections. 

Visit www.FSAFEDS.com. 

January 1, 2022 

If you have questions about Federal Benefits Open Season or any other questions about your benefits, contact (please insert here your agency benefit office 

contact information).