2027 Annual Enrollment
Oct. 14 – Oct. 28, 2026
While you’re providing excellent care to patients every day, ECU Health invests millions of dollars to provide you a comprehensive, competitive, valuable and affordable Total Rewards program.
Learn about your 2027 benefits
We review our benefits every year to keep them competitive, valuable and affordable. Explore the resources available to you — including the benefits roadshow — to learn about upcoming changes and what to expect for 2027.
Annual Enrollment is your once-a-year opportunity to evaluate your coverage and make updates to your benefits for 2027. This year, Annual Enrollment will take place Oct. 14 – Oct. 28, 2026.
Premium increases for medical and dental
- As we’re all aware, expenses continue to increase each year when it comes to providing medical and dental coverage to help keep our population healthy. While ECU Health is absorbing a large portion of the cost increases, and you will benefit from group rates, team members will be asked to contribute more to medical and dental premiums in 2027.
- Medical Savings Plan participants are now eligible for free Telemedicine and Behavioral Health visits through ECU HealthNow. Now, all team members enrolled in any ECU Health medical plan receive ECU HealthNow services at no cost.
- Medical and dental premiums will increase by 4%.
2027 Premiums
Full-time team members – 24 biweekly deductions
| Coverage | Medical Savings Plan | Basic Medical | Choice Medical | Basic Dental | Choice Dental | Vision |
|---|---|---|---|---|---|---|
| Single | $41.83 | $47.81 | $63.35 | $10.55 | $20.52 | $4.11 |
| + Children* | $155.37 | $181.67 | $210.35 | $19.34 | $35.75 | $6.77 |
| + Spouse* | $243.81 | $284.45 | $319.11 | $22.27 | $41.61 | $6.18 |
| + Family* | $267.72 | $311.94 | $348.99 | $31.65 | $59.20 | $10.32 |
* Includes domestic partner/domestic partner’s children. Family must include you, your spouse/domestic partner and at least one child.
Part-time team members – 24 biweekly deductions
| Coverage | Medical Savings Plan | Basic Medical | Choice Medical | Basic Dental | Choice Dental | Vision |
|---|---|---|---|---|---|---|
| Single | $117.13 | $135.06 | $149.40 | $10.55 | $20.52 | $4.11 |
| + Children* | $265.33 | $309.55 | $337.04 | $19.34 | $35.75 | $6.77 |
| + Spouse* | $335.84 | $393.21 | $429.07 | $22.27 | $41.61 | $6.18 |
| + Family* | $396.80 | $462.53 | $498.39 | $31.65 | $59.20 | $10.32 |
* Includes domestic partner/domestic partner’s children. Family must include you, your spouse/domestic partner and at least one child.
ECU Health Basic, Choice and Resident Plans
The Tier 1 deductibles in the Basic, Choice and Resident Plans will decrease to reduce your out-of-pocket costs when you choose an ECU Health Alliance provider. The Tier 2 deductibles and out-of-pocket maximums will increase. The Basic and Choice Plans will also offer more distinct levels of coverage in 2027. Both plans will feature lower Tier 1 deductibles when you use an ECU Health Alliance provider, helping reduce out-of-pocket costs. The Choice Plan will provide enhanced Tier 1 coverage through a lower deductible and higher plan-paid coinsurance, while the Basic Plan continues to offer comprehensive coverage at a lower premium. Tier 2 deductibles and out-of-pocket maximums will increase, and some copays and coinsurance amounts will change. Refer to your 2027 Benefits Guide for details.
Coverage of GLP-1 medication
ECU Health is proud to continue offering coverage for eligible GLP-1 medications at a time when many organizations are scaling back or discontinuing this benefit. To help keep the benefit sustainable, new program requirements are being developed for 2027. Additional information will be shared as soon as the requirements are finalized.
New guidelines include:
- One year of service with ECU Health for new prescriptions in 2027.
- Monthly wellness coaching.
- GLP-1s for weight loss will only be eligible to be filled through the ECU Health Employee Pharmacy. A courier service is available to all hospital locations.
Short-term Disability coverage
Provider coverage updates
2027 benefits guides
Attend an Annual Enrollment session
- Participate in the Annual Enrollment Education Series taking place Sept. 16 – Oct. 13 to learn more about what’s changing in 2027.
- Join us during Annual Enrollment Virtual Office Hours.
The Total Rewards team is available to answer your benefits questions virtually.
- Friday, Oct. 2 at 11 a.m. Join the meeting now
Meeting ID: 259 441 240 065 678
Passcode: kS7WF2ez - Tuesday, Oct. 6 at 11 a.m. Join the meeting now
Meeting ID: 279 059 717 813 566
Passcode: gp3Jj2w9 - Friday, Oct. 9 at 1 p.m. Join the meeting now
Meeting ID: 226 951 611 263 31
Passcode: JZ78Ux9x - Tuesday, Oct. 13 at 1 p.m. Join the meeting now
Meeting ID: 288 131 181 733 839
Passcode: ok2Pa6aj
- Attend a 2027 Annual Enrollment In-Person Benefits Roadshow session to learn about what’s changing in 2027 and to get answers to your benefits questions in person. Watch for more information about these in-person benefits sessions at your location. In the meantime, check out this list and mark your calendars to attend one.
Questions?
Contact the ECU Health Service Center
Visit the ECU Health Service Center or call 252‑816‑7446, Option 8.
Have you filed your Wellness Claim for 2026?
Don’t miss out on this $75 benefit if you’re insured in any Voya plan. You and your insured family members can each earn the benefit for each policy you have.
Your 2027 Annual Enrollment checklist
Gather this information before you enroll:
- For you: Your ECU Health user ID (employee ID number) and password
- For your dependents and beneficiaries: Social Security numbers, addresses and dates of birth
Verify (or update) your mailing address.
To enroll, click here and follow these steps:
- Enter your user ID (employee ID) and password
- Select the Benefits Enrollment tile (with bswift logo)
- Enter your ECU Health email address and Employee Self Service password
- Click on Annual Enrollment, located in the top banner of the bswift enrollment platform
- Elect or waive each benefit via bswift
- Confirm your elections meet your needs for 2027
If you do not wish to cover yourself and eligible dependents using our benefit offerings, log into our enrollment platform (bswift), designate beneficiaries where applicable and decline the remaining benefits. Remember, you must take action to make sure you have the coverage that is right for you and your family.
After you enroll your spouse and/or eligible dependent child(ren), you will receive a letter from the Dependent & Life Event Verification team (bswift). You will need to provide documentation to confirm your dependent’s eligibility for coverage.
Acceptable Forms of Documentation include:
- Marriage license for spouse
- Domestic partner attestation
- Birth certificate for children
- Court-ordered guardianship papers, adoption papers or placement letter
- Divorce decree to show parent/child relationship when names don’t match or to identify responsibility for providing health coverage
A qualified life event is not required to participate in Annual Enrollment or to make benefits changes during the Annual Enrollment period.
You and ECU Health share in the cost of your benefits. Your portion will be automatically deducted from your ECU Health paycheck (either on a before-tax or after-tax basis depending on the benefit).
All new hires and first-time eligible team members are automatically enrolled in the 401(k) plan at 5% of your earnings after 30 days from your start date, or as soon as administratively practical.
2027 premiums
Full-time team members — 24 biweekly deductions
| Coverage | Medical Savings Plan | Basic Medical | Choice Medical | Basic Dental | Choice Dental | Vision |
|---|---|---|---|---|---|---|
| Single | $41.83 | $47.81 | $63.35 | $10.55 | $20.52 | $4.11 |
| + Children* | $155.37 | $181.67 | $210.35 | $19.34 | $35.75 | $6.77 |
| + Spouse* | $243.81 | $284.45 | $319.11 | $22.27 | $41.61 | $6.18 |
| + Family* | $267.72 | $311.94 | $348.99 | $31.65 | $59.20 | $10.32 |
* Includes domestic partner/domestic partner’s children. Family must include you, your spouse/domestic partner and at least one child.
Part-time team members — 24 biweekly deductions
| Coverage | Medical Savings Plan | Basic Medical | Choice Medical | Basic Dental | Choice Dental | Vision |
|---|---|---|---|---|---|---|
| Single | $117.13 | $135.06 | $149.40 | $10.55 | $20.52 | $4.11 |
| + Children* | $265.33 | $309.55 | $337.04 | $19.34 | $35.75 | $6.77 |
| + Spouse* | $335.84 | $393.21 | $429.07 | $22.27 | $41.61 | $6.18 |
| + Family* | $396.80 | $462.53 | $498.39 | $31.65 | $59.20 | $10.32 |
* Includes domestic partner/domestic partner’s children. Family must include you, your spouse/domestic partner and at least one child.