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Enrolling in Benefits: New Hire Overview This job aid will assist you with your new hire health and group life insurance benefits enrollment in Core-CT. You have up to 31 days following your date of hire to make your elections. Your health coverage will be effective on the first of the month following your date of hire. Your group life coverage will be effective on the first of the month following six months of service. Please note that the costs reflected in this job aid are for illustration purposes only. Before You Begin Please refer to the list of items below prior to starting your benefits enrollment in Core-CT: 1. Family Less Employed Spouse (FLES): If you and your spouse are both State of Connecticut employees and you have at least one eligible dependent, you must contact your Agency Benefits Specialist for assistance in enrolling in the Family Less Employed Spouse (FLES) options. FLES elections cannot be processed through self-service. 2. Proof of Relationship Documentation: Employees must provide proof documentation to enroll eligible dependents in health coverages. Eligible dependents include your spouse, and children/stepchildren up to age 26 for medical and up to age 19 for dental. Core-CT provides you with the option to electronically upload your proof documentation, or to indicate how the proof documentation will be provided, such as fax, mail, email or in person. You will be required to provide the following to add dependents to your health coverages: Marriage Certificate Long form Birth Certificate for each child/stepchild Adoption decree or notification of placement for adoption 3. Social Security Number: You will be requested to provide the Social Security Number for any dependent(s) you are adding to coverage. 4. Legal Guardianship/Disabled Children: The following children cannot be processed through self-service and require that you contact your Agency Benefits Specialist for assistance: Children for whom you are legal guardian Disabled children over the age of eligibility for coverage 1

Process Steps 1 Navigation: Main Menu > Core-CT HRMS > Self Service > Benefits > Benefits Enrollment 2 On the Benefits Enrollment page, click Select next to a New Hire event to begin your enrollment. It will take you to the Document Upload page. Note: After you click Select, it will take a few seconds for the Document Upload page to load. As a new hire, you are required to provide proof of relationship documents for any eligible dependents you are enrolling for health coverages. Your enrollment cannot be processed without proper documentation, such as: Marriage certificate for spouse Long form birth certificates for children/stepchildren Adoption decree or notification of placement for adoption If you are not providing your proof documentation in self-service, click Add Note and indicate how you will be providing the proof documentation to your Agency Benefits Specialist, such as by fax, mail, email or in person. 3 If you are uploading your proof documentation in self-service, click on Add Attachment. On the Document Definition New Attachment page, type the name of the document you will be uploading, such as birth certificate for [name of child]. Then click Add Attachment. A File Attachment pop-up box will appear. Click on Browse to locate the document you will be uploading. Once the document location appears in the box to the left of Browse, click on Upload. The name of your document will now appear to the bottom of Attachment. Click on Save to save your attachment. Repeat the Add Attachment steps for each proof document you are providing via self-service. If you have added a document in error and wish 2

to delete it, check the Select box on the row of the document you wish to delete and the Delete button will be available to click. Once your proof documentation is uploaded or your note is added, click on Done at the bottom of the page to move to the Benefit Enrollment Summary page. The Benefit Enrollment Summary displays the coverages for which you are required to make an enrollment election. Click on Edit next to Medical to begin. 4 The Health Enhancement Program (HEP) certificate displays. Every employee who is enrolling in medical coverage is required to complete the form. If you are not enrolling in medical coverage, click Submit at the bottom of the page. 5 3

The Benefits Enrollment Medical page reflects available health coverages and costs for each Coverage Level. Please note the costs reflected in this job aid are for illustration purposes only. Select a medical plan. Scroll to the bottom of the page. 6 At the bottom of the page, you can add your dependents by clicking on Add/Review Dependents. This will take you to the Add/Review Dependent/Beneficiary page. 7 If you are not enrolling dependents, click Update and Continue. 4

Click on Add a dependent or beneficiary to add your dependents. 8 You will be prompted to enter information about the dependent you are adding. For example, Veronica Stark was added as a new dependent and the following information was entered: First Name Last Name Date of Birth Gender Social Security Number Relationship to Employee* Marital Status Same Address as Employee 9 *Only spouses, children and stepchildren are eligible dependents for enrollment in health coverages. Important Note: Carefully review the information you entered for accuracy before clicking Save. Once the information is saved, you will not be able to make changes. Changes must be requested through your Agency Benefit Specialist. After your careful review, click Save. A confirmation page will appear. Click OK. 5

On Add/Review Dependent/Beneficiary, your newly added dependent is shown under the Dependent Information. 10 If you are adding more eligible dependents, click Add a dependent or beneficiary for each dependent you are adding. Once all your dependents have been added, click Return to Event Selection. You will be brought back to the Benefits Enrollment Medical page. At the bottom of the Benefits Enrollment - Medical page under Enroll Your Dependents, click on the checkbox next to the names of each eligible dependent you are enrolling. Click Update and Continue. 11 6

The Benefits Enrollment - Medical page displays your choice, cost and covered dependents. When you are done reviewing the information, click on Update Elections at the bottom of the page. You will be brought back to the Benefits Enrollment Summary page. 12 The medical coverage you selected will be reflected under New. Please make a note of your New medical election and Coverage Level (in this example, Oxford HMO Empl+1 Dep). You will need to refer to this information in later enrollment steps. 13 Click Edit next to Prescription. You will be brought to the Benefits Enrollment Prescription page. 7

On the Benefits Enrollment Prescription page, select a Prescription plan that corresponds to your medical election. Scroll to the bottom of the page. 14 At the bottom of the Benefits Enrollment - Prescription page, click on the Enroll checkbox for each dependent you enrolled in medical. Then, click Update and Continue. 15 8

The Benefit Summary -Prescription page displays your choice, cost and covered dependents. When you are done reviewing the information, click on Update Elections. 16 The prescription coverage you selected will be reflected under New. Click Edit next to Dental. 17 9

The Benefits Enrollment Dental page reflects available dental coverages and costs for each Coverage Level. Please note the costs reflected in this job aid are for illustration purposes only. Select a dental plan. Scroll to the bottom of the page. 18 At the bottom of the Benefits Enrollment - Dental page, click on the Enroll checkbox next to the name of each dependent you are enrolling. Please note that any children or stepchildren age 19 or older are not eligible for dental and will not be listed. 19 Click Update and Continue. 10

The Benefits Enrollment - Dental page displays your choice, cost and covered dependents. When you are done reviewing the information, click on Update Elections. 20 The dental coverage you selected will be reflected under New. Click Edit next to HEP/Non-HEP Standard Plan. 21 11

On the Benefits Enrollment HEP/Non-HEP Standard Plan page, you must select the option that corresponds to your medical and Health Enhancement Program (HEP) elections. 22 Helpful hints: If you elected to participate in HEP: All options with either Standard Plan or NonCmplnt in the name will be grayed out You will select the option with the same name as your medical election and ends in HEP Plan If you elected not to participate in HEP, you will select the option with the same name as your medical election and ends in Standard Plan. Scroll to the bottom of the page. At the bottom of the Benefits Enrollment HEP/Non-HEP Standard page, click the Enroll checkbox next to the names of the same dependents enrolled in medical. Click Update and Continue. 23 12

The Benefits Enrollment HEP/Non-HEP Standard Plan page displays your choice, cost and covered dependents. When you are done reviewing the information, click on Update Elections. 24 The HEP/Non-HEP Standard Plan coverage you selected will be reflected under New. Click Edit next to Life. 25 13

On the Benefits Enrollment Life page, select an Option and click Update and Continue If you select No, you will be returned to the Benefits Enrollment Summary page 26 If you selected Yes, you will be prompted to designate your beneficiaries. Under Designate Your Beneficiaries, the dependents you have added will appear below. If you want to designate a beneficiary whose name does not appear, click Add/Review Beneficiaries. 27 You must designate primary beneficiaries. You have the option to also designate contingent beneficiaries. Enter the percentage in whole numbers in the applicable column next to each beneficiary. Each column must total 100%. Click the Update and Continue. 14

The Benefits Enrollment - Life page displays your choice, cost and beneficiary allocations. When you are done reviewing the information, click on Update Elections. 28 Eligibility for Supplemental Life is based on union code and salary. You must be enrolled in Life to enroll in Supplemental Life. 29 If you are eligible for Supplemental Life, click Edit to make your election. 15

The Benefits Enrollment Supplemental Life page reflects available Supplemental Life coverages and costs for each Coverage Level. Please note the costs reflected in this job aid are for illustration purposes only. Select a supplemental life plan. Scroll to the bottom of the page. 30 Under Designate Your Beneficiaries, the dependents you have added will appear below. If you want to designate a beneficiary whose name does not appear, click Add/Review Beneficiaries. 31 You must designate primary beneficiaries. You have the option to also designate contingent beneficiaries. Enter the percentage in whole numbers in the applicable column next to each beneficiary. Each column must total 100%. Click the Update and Continue. 16

The Benefits Enrollment Supplemental Life page displays your choice, cost and beneficiary allocations. When you are done reviewing the information, click on Update Elections. 32 17

On the bottom of the page, the Election Summary table summarizes the costs for your New coverages. Click Save and Continue to submit your elections to your Agency Benefits Specialist. 33 You have almost completed your enrollment. If you have no changes, read the Authorize Elections section and click Submit. 34 18

Click OK on the Submit Confirmation page to complete your enrollment. 35 Your benefits enrollment will be sent to your Agency Benefits Specialist. Once your enrollment is processed and approved by your Agency Benefits Specialist, you will be sent a Confirmation Statement. 19