Open Enrollment

  • The month of May is Pekin 108's open enrollment month. Employees are able to make changes to insurance coverage, enroll in our flexible spending plan or other benefits, or terminate coverage during this time. At other times throughout the year, employees may make changes with a qualifying life event. All applicable forms and the related information is available through this page. Please contact Caty Campbell in the Business Office at if you have any questions.


    You can return your forms to the Business Office by mail (501 Washington St, Pekin IL 61554), dropoff or by email. 


    All changes made during the open enrollment period became effective on July 1, 2020 and will remain in effect until June 30, 2021 unless you notify the Business Office of a qualifying event. Qualifying event changes will be determined on a case-by-case basis.


    Overview of Employee Benefits

    2020-2021 Employee Benefits Guide


    Health, Dental and Vision Insurance

    If you want to enroll or add dependents to your BCBS (medical and dental) or VSP vision insurance, please complete the appropriate enrollment form and return to the Business Office. 

    BCBS Enrollment Form

    VSP Enrollment Form

    If you want to terminate coverage or remove dependents from your BCBS or vision insurance, please send me an email notifying me of the requested change.


    BCBS Plan Information

    Benefits Comparison

    Side by Side Insurance Plan Comparison

    PPO-1 Schedule of Benefits 07-01-2020 to 06-30-2021

    PPO-2 Schedule of Benefits 07-01-2020 to 06-30-2021

    Dental Schedule of Benefits


     2020-2021 BCBS Rate Info


    VSP Vision Plan Information

    Schedule of Benefits

    Eyeconic Flyer

    VSP Rate Info


    Flex Spending for Medical Expenses or Dependent Care

    If you want to enroll in the flexible spending plan for medical reimbursement or dependent care, please complete the Group Plan Solutions (GPS) enrollment form. If you do not return this form, you will not be enrolled in the flex spending plan for 2020-2021.

    GPS FSA Enrollment Form


    If you choose to enroll in the flex spending plan, you may find these flyers and forms helpful as well.

    Flex Spending Info and Important Dates

    GPS FSA Online Account Instructions

    GPS Direct Deposit Form


    Flexible Spending Medical Expenses

    Medical Expense Claim Form

    Medical Reimbursement Claim Form

    Medical Expense Debit Card Info


    Flexible Spending Dependent Care Expenses

    Dependent Care Claim Form

    Other Voluntary Options

    Colonial Life Voluntary Insurance

    Colonial Life offers other types of voluntary coverage, such as accident, cancer and life insurance. See contact information on the flyer below.

    Colonial Life Flyer


    IMRF Voluntary Additional Contribution Program

    This program allows for IMRF contributors to put aside funds to be used for retirement or other purposes.  Funds are deducted through payroll after taxes and then held by IMRF.  Interest is credited to your account only once a year; however, funds put into this program are currently being paid interest at 7.25% (effective 1/1/2019).  You can elect to contribute up to 10% of your earnings. This is not to be seen as a short-term savings account as you can withdraw your contributions, but you must apply for a refund of all of your contributions when you do.  These funds can be applied to your monthly retirement annuity if your balance in the VAC program at the time of retirement is at least $4,500. You can enroll in the program or make changes to your contributions at any time by completing the IMRF VAC form below.

    IMRF VAC Form


    Additional information can be found on the IMRF website here: