Open Enrollment — Acme Corp
Plan Year Jan 1 – Dec 31, 2027 · Enrollment window: Nov 1 – Nov 30, 2026
Enrollment Period Configuration
Enrollment StartNovember 1, 2026
Enrollment EndNovember 30, 2026
Plan YearJan 1 – Dec 31, 2027
Days Remaining27 days left
Late EnrollmentEvidence of Insurability required
Late Enrollment DeadlineDecember 15, 2026
Enrollment Status Distribution
Enrolled — 156 (70%)
Pending — 34 (15%)
Waived — 12 (5%)
Not Started — 18 (8%)
Declined — 2 (1%)
Enrolled156 / 222
Pending34 / 222
Not Started18 / 222
Election Tracking
| Employee Name | Status | Plan Selected | Dependents | Election Date | Notes |
|---|---|---|---|---|---|
| Adams, Jennifer | Enrolled | HMO Gold – Family | 2 | Nov 3, 2026 | |
| Barrera, Carlos | Enrolled | HMO Silver – EE Only | 0 | Nov 2, 2026 | |
| Chen, Linda | Enrolled | HMO Gold – Family | 3 | Nov 1, 2026 | Plan change from Silver |
| Diaz, Rosa | Enrolled | HMO Silver – EE+Spouse | 1 | Nov 4, 2026 | |
| Evans, Mark | Pending | — | — | — | Form submitted, awaiting verification |
| Flores, Maria | Enrolled | HMO Gold – EE+Child | 2 | Nov 5, 2026 | |
| Garcia, Roberto | Waived | Waived | — | Nov 2, 2026 | Covered under spouse's plan |
| Harris, Susan | Enrolled | PPO Silver – EE+Child | 1 | Nov 6, 2026 | |
| Ingram, Derek | Pending | — | — | — | Email reminder sent Nov 8 |
| Johnson, Aisha | Enrolled | HMO Gold – Family | 3 | Nov 1, 2026 | |
| Kim, Jenny | Enrolled | HMO Silver – EE Only | 0 | Nov 7, 2026 | |
| Martinez, Ana | Enrolled | HMO Gold – EE+Child | 2 | Nov 3, 2026 | |
| Nelson, Paul | Enrolled | HMO Silver – EE+Spouse | 1 | Nov 4, 2026 | |
| Ortega, Miguel | Not Started | — | — | — | New hire — first open enrollment |
| Patel, Ravi | Waived | Waived | — | Nov 5, 2026 | VA benefits |
| Quinn, Rachel | Enrolled | HMO Gold – Family | 2 | Nov 2, 2026 | |
| Smith, Derrick | Enrolled | PPO Silver – EE Only | 0 | Nov 1, 2026 | |
| Torres, Elena | Enrolled | HMO Silver – EE Only | 0 | Nov 8, 2026 | |
| Vega, Tomás | Enrolled | HMO Gold – Family | 3 | Nov 3, 2026 | |
| Walsh, Nina | Declined | — | — | Nov 6, 2026 | Opted out — no ACA-qualifying reason |