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Submit completed form to: askhr@northwestern.edu or Northwestern Benefits Office 1800 Sherman Ave Evanston, IL 602012024 Retiree Open Enrollment Form 1. INSTRUCTIONS As a Retiree during Open Enrollment,

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How to fill out 2024 retiree open enrollment

01

Review the 2024 retiree open enrollment materials provided by your employer or insurance provider.

02

Determine if you need to make any changes to your current coverage, such as adding or dropping dependents or changing plans.

03

Fill out the enrollment forms with your personal information and any changes to your coverage.

04

Submit the completed forms by the deadline specified by your employer or insurance provider.

Who needs 2024 retiree open enrollment?

01

Employees who are retiring or have already retired and are eligible for retiree benefits in 2024.

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What is retiree open enrollment form?

The retiree open enrollment form is a document that allows retirees to make changes to their healthcare coverage during a specified period.

Who is required to file retiree open enrollment form?

Retirees who wish to make changes to their healthcare coverage are required to file the retiree open enrollment form.

How to fill out retiree open enrollment form?

Retirees can fill out the retiree open enrollment form by providing all requested information regarding their healthcare coverage.

What is the purpose of retiree open enrollment form?

The purpose of the retiree open enrollment form is to allow retirees to make changes to their healthcare coverage.

What information must be reported on retiree open enrollment form?

Retirees must report information such as their current healthcare coverage, desired changes, and personal information.

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