Schedule BRIWEB Open Enrollment Question Title * 1. Employer Name (Required.) Question Title * 2. Employer Tax ID (Required.) Question Title * 3. Plan Year (Required.) Start Date Date End Date Date Question Title * 4. Open Enrollment (Required.) Start Date Date End Date Date Question Title * 5. Pick One: (Required.) Employees enter Open Enrollment data at BRIWEB Employer enters Open Enrollment data at BRIWEB Question Title * 6. If employees enter OE data at BRI web, then: Employer will upload a full eligibility file no later than 5 business days before open enrollment start date Use existing active population on file at BRI Done
