Open enrollment for employee health insurance is upon us, giving employees and HR leaders the chance to review workplace benefits and make smart coverage choices. Most companies hold their open enrollment period between October and December, though exact dates vary by employer.

If you oversee HR and benefits, you know this is a busy time of year. To help employees feel informed (and reduce stress for HR teams), we’ve created a clear, shareable guide to navigating open enrollment with confidence.

What Types of Insurance Are Covered During Open Enrollment?

Open enrollment typically includes:

• Health insurance
• Dental insurance
• Vision insurance
• Related benefits like Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs)

These selections usually last for the entire plan year, so it’s important to choose carefully.

What Is Open Enrollment For?

Open enrollment is your chance to:

• Add or drop dependents
• Change your plan or tier
• Sign up for supplemental benefits like an HSA or FSA

This is the only time of year (unless you have a qualifying life event) when you can make these changes.

What Is Open Enrollment NOT For?

Open enrollment does not apply to every type of insurance. It’s not for:

• Life or disability insurance (often available year-round)
• Auto, home, or business insurance (these renew on their own schedules)
• Medicaid (enrollment is open year-round for those eligible)
• Medicare (has its own enrollment period, separate from employer benefits)
  
  

You also don’t need to wait for open enrollment if you experience a qualifying life event, such as getting married, divorced, or having a baby. Those changes fall under a Special Enrollment Period (SEP).

Is the Most Expensive Health Insurance Plan Always the Best?

Not necessarily. While higher premiums may mean more comprehensive coverage, you could end up paying for benefits you don’t need. Conversely, a plan with low premiums but high deductibles might be a poor fit if you expect significant medical needs.

The best plan depends on your anticipated healthcare usage for the upcoming year.

HSAs vs. FSAs: Which Is Right for You?

Both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) can save you money on healthcare expenses, but they differ:

• HSA: Owned by the individual, funds roll over year to year, and can cover a wide variety of expenses.
• FSA: Owned by the employer, funds typically must be used within the plan year, and participation must align with group insurance.
  
  

Since you can’t enroll in both, check with your HR team to determine the best fit. P.S. - Check out FSA and HSA updates under the One Big Beautiful Bill Act, here.

Reflection: Questions to Ask Before Choosing a Plan

Many employees stick with the same plan year after year, even if it’s not the best fit. In fact, studies show up to 85% of employees feel confused by their coverage options.  (Ameritus)

Here are 8 reflection questions to guide your decision:

1. Did I experience coverage gaps last year?
   
2. Were my copays manageable?
3. Did I fully use my HSA or FSA funds?
4. Did I meet my deductible, or come close?
5. How often did I or my family visit doctors or need prescriptions?
6. Were my preferred providers in-network?
7. Did I avoid care because I didn’t understand my plan?
8. Do I anticipate major health changes in the next year?

Open Enrollment Tips for Employees and HR Leaders

• Start early: Don’t wait until the last day.
• Use decision-support tools: Many employers now offer plan comparison charts or online tools.
• Ask questions: HR and benefits teams are there to help. 
• Review annually: Even if your health hasn’t changed, plan options may have.
• Get Support: Our Employee Benefits and HR Advisory teams here at Fusco, Orsini & Associates are here to help. Book a call to learn more.

Bottom Line: Open Enrollment Is Your Best Chance to Make Informed Choices

Open enrollment only comes once a year for most employees. Taking the time to reflect on your past choices, understand your options, and ask questions can save money and improve your access to care.

Whether you’re an HR leader guiding your team or an employee reviewing your options, this guide will help you navigate the season with greater confidence.

HR Leaders:  book a call today   to learn how we can support your business and your team. From choosing the right plan to answering your questions, we’ll help you navigate open enrollment with confidence and ease.