Log into the Open Enrollment system (until January 31, 2013) to print/review your completed Confirmation Statement

• If you did not enroll during October 29, 2012 - November 19, 2012, you can log into the Open Enrollment system and do the following:

• Print a blank Confirmation Statement and fill it out.

• Write a letter or email to Employee Benefit Services requesting an exception by explaining why you did not complete your enrollment online.

• Submit your letter or email and completed Confirmation Statement to Employee Benefit Services for review. You will be contacted by Employee Benefit Services once they have completed their review.