Open enrollment is an important time for all eligible partners to review and select their benefits for the upcoming calendar year.
Whether you’re looking to update your health insurance, dental coverage, or other benefits, this page will provide you with all the information you need to make informed decisions. We are here to help you through the process and ensure you understand your options.
Budgie Decision Support is here to help! With changes to premiums, deductibles, OOP, and copays, Budgie can guide you in choosing a medical plan, exploring benefit options, and finding cost-saving opportunities. (New to Budgie? Click Log In then Activate without Email to get started!)
For 2026, partners can choose from three medical plans: Surest, UMR HDHP1, and UMR HDHP2. Each plan includes prescription coverage, a wellness incentive, and utilizes the UHC Choice Plus network.
| Coverage Tier | Surest | HDHP1 | HDHP2 |
|---|---|---|---|
| Partner Only | $71.86 | $72.55 | $48.38 |
| Partner + Spouse | $182.77 | $184.19 | $125.68 |
| Partner + Child(ren) | $126.24 | $127.31 | $86.38 |
| Partner + Family | $253.90 | $256.11 | $174.76 |
2025 vs 2026 Premium comparison here.
Understanding Deductibles vs. Copays
| In-Network HDHP Deductibles | HDHP1 | HDHP2 |
|---|---|---|
| Partner Only | $2,000 | $3,000 |
| Partner + Spouse, Children, Family | $4,000 | $6,000 |
| Coinsurance | 80% In-network | 80% In-network |
A copay is a fixed amount you pay for certain services, like doctor visits or prescriptions. You pay this amount at the time of service, and it counts towards your annual out-of-pocket maximum.
| In-Network Surest Copays | Copay Ranges |
|---|---|
| PCP/Specialist | $20 to $105 |
| Emergency Room | $400 (Waived if admitted) |
| Urgent Care | $40 |
| Complex Imaging | $75 to $950 |
Procedures
| Up to $2,500 |
| Maternity | $625 to $1,600 |
Your out-of-pocket maximum is the most you’ll pay in a calendar year for covered in-network medical and prescription services. Once you reach this amount, Schreiber pays 100% of eligible in-network costs for the rest of the year. If you’re enrolled in Surest or HDHP2 Partner+CH,SP, or Family coverage, your plan includes an embedded out-of-pocket maximum. This means that no one person enrolled in coverage will pay more than $4,000 if enrolled in Surest, or $8,700 in enrolled in HDHP2 out-of-pocket in a calendar year for covered medical services.
| In-Network Out-of-Pocket Maximum | Surest | HDHP1 | HDHP2 |
|---|---|---|---|
| Partner Only | $4,000 | $4,000 | $6,000 |
| Partner + Spouse, Children, Family | $8,000 | $8,000 | $12,000 |
| Embedded Maximum | $4,000 | None | $8,700 |
UMR HDHP
If you’re enrolled in HDHP1 or HDHP2, your prescription costs will vary based on the type of medication and where it’s filled. Because prescriptions count toward your annual deductible and out-of-pocket maximum, here’s how it works:
Some medications are considered preventive and may be covered at a reduced cost—or even free. Partners enrolled in a HDHP will have access to an expanded preventive drug list. To see which medications qualify, visit the SmithRx Formulary page.
To be covered under the plan, eligible specialty prescriptions must be filled through the SmithRx Connect 360 program. This program helps lower costs for both partners and Schreiber, and some specialty medications may even be available at no cost. Medications marked with a red “C” are eligible for the 360 program. In 2026, the Connect Access Traditional Program and the Mandatory Mark Cuban Cost Plus Drug Program will be mandatory. Letters will be mailed to impacted member homes in late 2025.
| Generic | Brand | |
|---|---|---|
| Preventive Drugs | 100% Coinsurance (no cost to partner) | Preferred/non-preferred brands: 80% coinsurance, no deductible |
| All Other Drugs | 80% Coinsurance after deductible (lower cost option) | 80% Coinsurance after deductible |
Surest
With Surest, you’ll know your prescription costs ahead of time—there’s no deductible, so you pay a set copay based on the medication and how it’s filled. To check your copay amount and see if a medication is covered under the ACA preventive drug list, visit the SmithRx Formulary page. When searching for a prescription, look for the tier number listed next to the drug. That number will match the copay amount depending on whether it’s filled as a 30-day, 90-day, mail order, or specialty prescription. If a drug is marked with a black ACA circle, it’s covered at 100%, paid for by Schreiber —no copay required.
To be covered under the plan, eligible specialty prescriptions must be filled through the SmithRx Connect 360 program. This program helps lower costs for both partners and Schreiber, and some specialty medications may even be available at no cost. Medications marked with a red “C” are eligible for the 360 program. In 2026, the Connect Access Traditional Program and the Mandatory Mark Cuban Cost Plus Drug Program will be mandatory. Letters will be mailed to impacted member homes in late 2025.
| Tier | Retail 30 Day | Retail 90 Day | Mail Order 90 Day | Specialty Drug |
|---|---|---|---|---|
| Tier 1 | $10 | $30 | $25 | |
| Tier 2 | $25 | $75 | $65 | |
| Tier 3 | $45 | $135 | $115 | |
| Tier 4 | $140 | |||
| Tier 5 | $160 |
When you enroll in a medical plan for 2026, you’ll have access to a range of supportive health programs designed to meet your needs at every stage of life.
Health & Wellness Support
Life Stage & Specialty Support
Dental coverage will continue to be provided by Delta Dental of Wisconsin in 2026.
| Coverage Tier | Bi-Weekly Premium |
|---|---|
| Partner Only | $2.38 |
| Partner + Spouse | $4.82 |
| Partner + Child(ren) | $5.11 |
| Partner + Family | $9.15 |
Dental insurance helps cover the cost of routine and major dental care. The chart shows how much you’ll pay depending on the type of care and whether your dentist is in-network or out-of-network (non-contracted).
| Dental Coverage | Delta PPO/Premier | Non-Contracted |
|---|---|---|
| Individual Deductible | $50 | $75 |
| Family Deductible | $150 | $225 |
| Individual Annual Maximum | $1,500 | $1,500 |
| Orthodontic Individual Lifetime Maximum | $1,500 | $1,500 |
Vision coverage will continue to be offered through VSP in 2026.
| Coverage Tier | Basic Vision | Vision Plus |
|---|---|---|
| Partner Only | $0 | $4.22 |
| Partner + Spouse | $0 | $6.88 |
| Partner + Child(ren) | $0 | $7.03 |
| Partner +Family | $0 | $11.34 |
Vision insurance helps you pay for things like eye exams, glasses, and contact lenses. Choose between two plans: Basic Vision and Vision Plus.
Basic Vision (Company Paid)
Vision Plus (Company + Partner Paid)
| Basic Vision | Vision Plus | |
|---|---|---|
| Exams | Every other calendar year $20 copay | Every calendar year $20 copay |
| Frames | $120 allowance every other calendar year | $180 allowance every other calendar year |
| Contacts | $70 allowance every other calendar year in lieu of glasses | $160 allowance every year in lieu of glasses |
| Additional Details |
$35 copay for second pair benefit LASIK benefit available |
If you enroll in a High Deductible Health Plan (HDHP) for 2026, you can take advantage of a Health Savings Account (HSA)—a tax-advantaged way to pay for qualified medical, dental, vision, and prescription expenses.
Important HSA Reminders
| Coverage | 2026 IRS Max | Incentive | Annual Max |
|---|---|---|---|
| Partner Only | $4,400 | $600 | $3,800 |
| Partner + Spouse, Child, Family | $8,750 | $1,200 | $7,550 |
We’re excited to share several updates designed to enhance your benefits experience in 2026.
Benefits available to elect, drop, or change for 2026 during the Open Enrollment period
Important Reminders
Offerings available to benefit-eligible partners without requiring Open Enrollment action
To ensure your dependents are covered for 2026 benefits, you must submit verification documents in Workday by Friday, November 7, 2025.
Adding a Spouse
Adding a Child
Uploading Documents
If you experience a qualifying life event in 2025—such as marriage, birth/adoption, divorce, or loss of coverage—you’ll need to re-do your 2026 Open Enrollment after your life event is processed.
What You Need to Do
You have 30 days from the date of your life event to:
After Your Event Is Approved
Once your life event is approved in Workday:
7-Day Window to Complete Open Enrollment Event
From the date your life event is approved, you’ll have 7 days to:
Open Enrollment is the time each year when partners can sign up for or make changes to their benefits, like medical, dental, vision, and life insurance. Usually, this is the only time you can make changes unless you have a major life event, like getting married or having a baby.
To make changes based on your spouse’s Open Enrollment (OE), you must provide documentation confirming that their OE period is currently active. Acceptable documentation includes an OE newsletter, a notification from their employer, or similar official materials.
Important: Changes can only be made while your spouse’s Open Enrollment is open. If their OE period has already closed, the opportunity to make changes will no longer be available..
When Open Enrollment starts, you will get a notification in your Workday inbox. You can complete the Open Enrollment process on your computer or through the Workday App.
Yes, you can change your choices as many times as you want during the Open Enrollment period. The last submitted elections as of Open Enrollment closing will be your benefits that will take effect on January 1st of the following year.
Note: If you add a new dependent to your coverage, you must provide verification by the required deadline for them to be eligible for coverage in the new year.
If your child is turning 26 next year, you do not need to take any action during Open Enrollment to remove them from your benefits. Coverage will automatically end at the end of the month in which your child turns 26.
In compliance with federal regulations, the following documents are available for review.
Questions During Open Enrollment? Contact us here.
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