Schedule BRIWEB Open Enrollment

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* 1. Employer Name

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* 2. Employer Tax ID

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* 3. Plan Year

Start Date

Date

End Date

Date

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* 4. Open Enrollment

Start Date

Date

End Date

Date

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* 5. Pick One:

Employees enter Open Enrollment data at BRIWEB

Employer enters Open Enrollment data at BRIWEB

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* 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