Enrollment - K12, DTCC & DSU Employees
Important: Open Enrollment (May 1 - 16, 2025) is closed.
View the notice for guidance on reviewing your benefit selections for the new plan year beginning July 1, 2024. Note: If you reached out to your organization’s HR/Benefits Office during Open Enrollment with issues that are still not resolved, please continue to work with your organization’s HR/Benefits Office.
The 2025 Open Enrollment period is May 1 – 16, 2025.
(Plan Year July 1, 2025 - June 30, 2026)
Unless you experience a qualifying event, Open Enrollment is your only chance to enroll, cancel coverage, or change plans for yourself, an eligible spouse, or dependent children.
What’s Changing Effective July 1, 2025
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Important: Your benefits may be different from what is presented on this page. Please refer to the Resource Document for Education Employees or contact your Human Resource/Benefits Office for information regarding your benefits and premiums (rates).
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INFORMATION
Benefits Available During Open Enrollment
Benefits Included With Health Plan Enrollment
Individuals enrolled in a State of Delaware non-Medicare health plan, administered by Highmark Delaware or Aetna, are automatically enrolled in the State of Delaware prescription plan. CVS Caremark is the pharmacy benefit manager for the State of Delaware. CVS Caremark provides an Automatic Refill and Renewal program for home delivery, CVS Pharmacy Pickup and Delivery Options, CVS Specialty Pharmacy, and over 66,000 pharmacies are available under the CVS Caremark network. You will also have access to a variety of digital tools that offer the ability to check drug cost and coverage, request a prescription, view your ID Card, and manage your profile. Learn more about CVS Caremark by clicking the links below.
The Lantern benefit is a comprehensive surgical program that provides a personalized concierge experience from dedicated Care Advocates and access to excellent health care through a network of credentialed Surgeons of Excellence for planned, non-emergent surgeries. Enrollment in the Lantern benefit is automatic for individuals enrolled in a State of Delaware Aetna or Highmark Delaware non-Medicare health plan.
Their goal, in partnership with the State of Delaware, is to simplify the surgical process from start to finish - from helping schedule appointments to eliminating medical bills related to your care. The credentialed surgeons undergo a rigorous evaluation process to assure that you receive high-quality care from specialists who excel in the area related to your needs. Lantern negotiates a single cost (bundled rate) for the entire surgical procedure, resulting in savings for the State of Delaware.
Using the Lantern benefit for your planned, non-emergent surgeries saves you money by reducing your financial responsibility and removing deductibles, copays, and coinsurance amounts. Some surgeries and procedures may even include a financial incentive and travel benefits, when applicable. Learn more about Lantern by clicking the links below.
Effective 7/1/2025 Health Advocate℠ will be the new provider for the Employee Assistance Program (EAP). Please note that while the program will officially launch on July 1, 2025, it will not be available for use until that date. The Employee Assistance Program provides access to a wide range of support services from Health Advocate℠ including professional counseling services, legal services, an interactive website, onsite workshops, and much more. More information will be provided in the coming weeks. We encourage you to visit the SBO Website regularly for more information on the services and resources that will be available to you once the program is live.
Note: EAP services through the current vendor, ComPsych® GuidanceResources®, are available through June 30, 2025. Learn more.
Other State Benefits
Important: The DEFER plans are administered by the Office of the State Treasurer. Have questions about DEFER? Contact OST by email or call (302) 672-6733.
“DEFER” is a voluntary retirement program that works like a private sector 401(k) plan and is managed by Voya Financial. The State of Delaware 457(b) plan is available to employees of State Agencies, School Districts, Charter Schools, Delaware Technical Community College (DTCC) and Delaware State University (DSU). The State of Delaware 403(b) plan is available to full-time and part-time education employees of School Districts, Charter Schools, DTCC, and DSU, as well as the Department of Education.
DEFER offers low-cost investments, an award-winning website and mobile app, as well as a team of local plan representatives that will assist State employees at no cost. Participation in the DEFER helps State employees save for retirement alongside Social Security, pension, and personal savings. Employees can sign up or change their contributions for DEFER at any time of the year; however, Open Enrollment is a great opportunity for employees to review their retirement savings.
