2027 Benefits Open Enrollment

Changes for 2027

Health care has long been one of the most valued benefits at Duke, and our goal is to continue providing high-quality coverage that is meaningful and accessible for our employees and their families. This commitment requires us to make some important changes in 2027.

Healthcare costs continue to rise significantly, and like many employers, Duke is experiencing the same pressures. As a result, health care premiums will increase in 2027 for all employees — more than they have in recent years. In an effort to help ensure this important benefit remains accessible to all employees, Duke is introducing a new premium structure in 2027 based on salary.

Under the current model, employees in lower salary bands pay a higher share of their income for the same coverage as their colleagues who earn more. The new model rebalances the cost share and shields those in lower bands from disproportionate cost increases.

Open Enrollment Period: October 12 – October 30, 2026

All Duke employees who are eligible for benefits will have the opportunity to enroll or make changes in their medical, dental, vision and reimbursement account benefits during the annual open enrollment period (October 12 – October 30, 2026). Changes made during the annual open enrollment period take effect January 1 of the upcoming year.

How To Enroll Using the Duke@Work Website

Step 1	Step 2	Step 3
Access the Duke@Work website. Click on “Benefits Open Enrollment for 2027.” When prompted, enter your Duke NetID and your NetID password	Accept terms and conditions   Complete the step-by-step enrollment process	Ensure that you save your changes   *Print and review your Confirmation

*It is your responsibility to make sure that your 2027 benefit elections are correct, so be certain to review your Confirmation Statement.

About Open Enrollment

This enrollment website serves as a summary of material modification to the benefits described in the official summary plan descriptions for these plans. The benefits that you receive are based upon the plan’s official plan documents, not this guide or any other written or oral statement. If there is a conflict between this guide and the official plan documents, the official plan documents will govern in all cases. Duke reserves the right at any time to change or terminate these plans.

Para información detallada sobre sus beneficios, comuníquese por favor al Centro de Recursos Humanos de Duke al (919) 684-5600, Opción 1.