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Open Enrollment


Open enrollment begins Thursday, December 1, 2016 and ends Thursday, December 15, 2016. The benefit selections you make during Open Enrollment are effective January 1, 2017.

Lindsey Wilson College is committed to providing you with the best benefits that promote your health and well-being as part of your total benefit package.

Use this annual opportunity to review your current benefit selections and make choices for you and your family members that meet your needs.


  • If you are not making any changes to your benefits, just log on to Banner Self-Service to review any benefit changes and complete Open Enrollment. However, participants in the pre-tax spending accounts (health care and dependent care) must re-enroll if they wish to continue to enjoy this benefit in 2017.
  • If you are participating in the Flexible Spending health care and/or dependent care reimbursement account and wish to continue to participate in 2017, you must re-enroll.
  • If you will be making changes to your medical, dental and vision plans, remember to select your change in Banner Self-Service and complete the necessary enrollment/change forms and return to the Human Resources Office.
  • Open enrollment changes are in effect for the entire year unless you experience an IRS qualifying event (i.e. change in marital status, birth or adoption of a child). Contact the Human Resources Office within 31 days of the date of the event.


All employees must complete Open Enrollment online for the upcoming year to continue to be enrolled in the same benefit plans. (You must enroll and complete a new application for flexible spending accounts each year to participate in this benefit.)

For more detailed Instructions select the following link Banner Online Instructions.


Forms you may need during Open Enrollment.Open enrollment pic

Anthem Enrollment/Change Form  

Anthem Termination Application  

Health Insurance Election Form 2017

LWC Core Plan Medical Benefit Summary  

LWC Buyup Plan Medical Benefit Summary

Delta Dental Enrollment/Change Form

Delta Dental Plan Benefit Summary Option 1

Delta Dental Plan Benefit Summary Option 2

Avesis Enrollment/Change Form

Avesis Vision Benefit Summary

Ameriflex Enrollment Form

Ameriflex LWC Summary Plan Document

EarQ Family Discount Hearing Plan

EarQ Family Participation Form


Please Note:

  • All Open Enrollment elections must be completed through Banner Self Service Open Enrollment by Thursday, December 15, 2016 at 4:30 pm.
  • The choices you make during this period are for the calendar year 2017.



Human Resources Office

Phone (270) 384-8203

Fax: (270) 384-7373


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2008 Lindsey Wilson College
210 Lindsey Wilson St. Columbia, Ky 42728
Local: (270) 384-2126
Fax: (270) 384-8200
Toll Free: (800) 264-0138