Enrollment -Backup
Open Enrollment
Open enrollment Jul. 13 – 20, 2022
Open enrollment is here! This is your annual opportunity to review your benefit options and make changes for the Aug. 1, 2022 through Jul. 31, 2023 plan year. Please review the enrollment materials and share the information with your family.
What you need to do
Open enrollment is the only time you can make changes unless you have a qualifying event. Changes will take effect on Aug. 1, 2022. Please complete the following paperwork as applicable. All forms due to Desiree Lactaoen by Wednesday, July 20 (desireel@badensports.com).
- Payroll Deduction Authorization Form – All employees are required to complete this form
- Regence Enrollment Form – To enroll in one of the medical and vision plans for the first time or make changes
- Delta Dental Enrollment Form – To enroll in the dental plan for the first time or make changes
- Navia FSA Enrollment Form – To enroll in a health care and/or dependent care FSA. Current FSA elections will not automatically roll over; you must complete this form to enroll for the new plan year.
- Reliance Standard Voluntary Life Enrollment Form – To purchase additional life insurance for the first time or make changes
- If you are already enrolled in Voluntary Life your current elections will rollover, you don’t need to complete a form.
- If you want to purchase coverage for the first time or increase your current coverage you must complete the Health Questions section on the Reliance Standard Enrollment Form. Reliance Standard will need to review your enrollment form before approving your coverage. If approved, your coverage will begin on the first of the month following the approval date.

New Eligible Employees
Baden Sports is pleased to offer a comprehensive benefits program at an affordable cost. We consider our benefits program to be a very important part of our compensation package and want to provide you with high quality coverage. The health plans are designed to offer you comprehensive coverage as well as to protect you from heavy financial burden in the event of a catastrophic illness or injury.
Enrollment Materials
Enrollment Forms
All new eligible employees must complete the required enrollment forms within 30 days of their eligibility date. You can email or drop off your completed forms to Desiree Lactaoen desireel@badensports.com
