Open Enrollment for Employers: The Complete Guide

Everything you need to run a smooth open enrollment — timelines, communication templates, compliance requirements, and how to reduce your admin burden by 80%.

Gary Daniels, Chief Growth Officer at Thatch, leads growth and carrier strategy. Former UnitedHealthcare CEO, he believes empowering individuals to make personalized healthcare purchasing decisions based on their needs will transform the industry.

Gary Daniels

7 min read

Open Enrollment Timeline: What to Do and When

August–September

  • Review current plan performance

  • Analyze utilization data, claims trends, and employee feedback

  • Get renewal quotes from carriers

  • Evaluate alternatives (group plan renewal vs ICHRA)

  • Set contribution strategy and budget

October

  • Finalize plan options and contribution levels

  • Prepare employee communication materials

  • Schedule benefits meetings or webinars

  • Set up enrollment platform (Thatch handles this automatically for ICHRA)

  • Test payroll deduction feeds

November (weeks 1–2)

  • Launch open enrollment

  • Send announcement emails with deadlines

  • Hold live Q&A sessions or office hours

  • Make plan comparison tools available

  • Ensure support is accessible for employee questions

November (weeks 3–4)

  • Send reminder emails to non-enrollees

  • Follow up individually with employees who haven't made elections

  • Process early enrollments

  • Address edge cases (new hires, terminations during OE)

December

  • Close enrollment window

  • Confirm all elections

  • Submit enrollments to carriers

  • Set up payroll deductions for January

  • Send confirmation notices to all employees

January

  • Verify coverage is active for all enrolled employees

  • Confirm first payroll deductions are accurate

  • Resolve any enrollment errors

  • Distribute insurance cards and plan documents

Open Enrollment Communication Plan

EmailSubject lineWhat to include

Email 1 (4 weeks before)

Open Enrollment Starts [Date] — Here's What's Changing

What's new this year, key dates, where to go to enroll, who to contact with questions

Email 2 (1 week before)

Open Enrollment Opens [Day] — What You Need to Know

Step-by-step enrollment instructions, plan comparison highlights, reminder of deadline

Email 3 (midway)

Reminder: Open Enrollment Ends [Date]

Progress update (X% of team enrolled), quick links, FAQ answers to common questions heard so far

Email 4 (final 3 days)

Last Chance — Open Enrollment Closes [Date]

Urgency, what happens if you don't enroll (default election or no coverage), direct link to enroll now

Email 5 (after close)

Open Enrollment Complete — Your Coverage Starts [Date]

Confirmation of elections, next steps, who to contact for issues, when cards arrive

With Thatch, most of this communication is automated. Employees receive personalized enrollment invitations, plan recommendations, and deadline reminders — without HR lifting a finger.

Open Enrollment Compliance Requirements

ACA employer mandate

Applicable Large Employers (50+ FTEs) must offer affordable, minimum-value coverage or face penalties. During OE, ensure your offer meets affordability safe harbor requirements.

ERISA notices

Distribute Summary Plan Descriptions (SPDs) and Summary of Benefits and Coverage (SBCs) before or during open enrollment. Required for all ERISA-covered plans.

COBRA coordination

Notify qualifying beneficiaries of their COBRA rights. Coordinate COBRA continuation with any plan changes made during OE.

HIPAA special enrollment

Employees who declined coverage because they had other coverage must be allowed to enroll during OE — and must be notified of this right.

State mandates

Some states have additional requirements — posting requirements, specific benefit mandates, state-run exchange integration. Check your state.

ICHRA has its own compliance requirements: 90-day advance notice to employees, affordability determinations by employee class, opt-out documentation. Thatch handles 100% of ICHRA compliance automatically.

5 Open Enrollment Mistakes Employers Make

  1. Starting too late. If you're scrambling in November, you're already behind. Start reviewing plans and setting budgets in August.

  2. Sending one email and calling it done. Employees need multiple touchpoints. The average employee needs 3–5 reminders before they take action on benefits.

  3. Not explaining what changed. Even if the plan names are the same, premiums, deductibles, and networks change every year. Spell it out.

  4. Ignoring the uninsured. Some employees decline coverage every year. OE is your chance to re-engage them — especially if you've switched to ICHRA, which may offer more appealing options.

  5. Doing it all manually. Spreadsheet-based enrollment, manual carrier submissions, and hand-keyed payroll deductions create errors that surface in January when employees need care. Platforms like Thatch automate the entire process.

How ICHRA Makes Open Enrollment Easier for Employers

Traditional Group PlanICHRA with Thatch

Carrier negotiation

You negotiate renewals annually, often with limited leverage

No carrier negotiation. Employees choose their own plans.

Employee enrollment

HR processes enrollment forms, resolves errors, chases stragglers

Thatch sends guided enrollment invitations. 85% complete without HR intervention.

Payroll setup

Manual deduction setup or file feeds to payroll

Automated payroll integration via Finch, Merge, or direct API.

Compliance

You manage ACA reporting, ERISA notices, SBCs

Thatch handles 100% of ICHRA compliance.

Employee questions

HR fields questions about plan details, networks, costs

Thatch's licensed advisors answer employee questions directly.

Time investment

40–80+ hours of HR time per enrollment cycle

Under 10 hours. Set budget, invite employees, done.

Ready to make your last painful open enrollment your last?

Open Enrollment for Employers FAQ

When should employers start planning open enrollment?

Start in August. Review current plan performance, get renewal quotes, and set your contribution strategy. Communication to employees should begin at least 4 weeks before enrollment opens.

How long should open enrollment last?

Most employers run a 2–4 week enrollment window. Shorter than 2 weeks doesn't give employees enough time. Longer than 4 weeks creates procrastination. With ICHRA through Thatch, enrollment can be rolling — no fixed window required.

What if an employee doesn't enroll during open enrollment?

It depends on your plan rules. Some employers default non-enrollees to their previous elections. Others require active enrollment — meaning employees who don't act lose coverage. Make your default-election policy clear in communications.

How does open enrollment work with ICHRA?

With ICHRA, employers set an employee health budget and employees choose their own individual health plans. Thatch handles the enrollment experience, plan recommendations, carrier payments, and compliance. Employees can enroll during marketplace open enrollment or, for new hires, at any time.

Can we switch from a group plan to ICHRA during open enrollment?

Yes. Many employers use open enrollment as the transition point from group plans to ICHRA. Thatch can run a parallel analysis showing cost comparisons before you make the switch, and handles the entire transition for both employer and employees.

Gary Daniels, Chief Growth Officer at Thatch, leads growth and carrier strategy. Former UnitedHealthcare CEO, he believes empowering individuals to make personalized healthcare purchasing decisions based on their needs will transform the industry.
Written by
Gary Daniels /Chief Growth Officer

Gary Daniels, Chief Growth Officer at Thatch, leads growth and carrier strategy. Former UnitedHealthcare CEO, he believes empowering individuals to make personalized healthcare purchasing decisions based on their needs will transform the industry.

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This article is for general educational purposes and is not legal advice. The opinions shared here belong to the author and are not official statements from Thatch. For legal and tax questions, please feel free to consult with a qualified professional.

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