Open Enrollment Wizard Signing into the Open Enrollment Wizard: User ID: Last 6 digits of SSN and up to 10 letters of your legal first name in all CAPS. Password: Please enter the Employee Self Service (ESS) Password you have previously established. If you do not remember your password, please access the ESS information regarding accessing your password that is posted on the ESS webpage regarding Directions on how to log in for the first time, or if you forgot your password.
Review Your Current Dependents/ Benefit Enrollment Select My Info tab, then My Benefits and then select Current Enrollment. This will allow you to review your current benefit enrollments and currently enrolled dependents. Enter the Enrollment Wizard to Make Changes Select to Enter the Enrollment Wizard Enter the Enrollment Wizard by selecting the large blue arrow at the bottom of the screen.
Select this option the first time you enter the Wizard. Select this option if you have started an enrollment that you wish to finish. You may start a new enrollment by selecting the New or Modify radio button. You can exit the wizard at any time and then return by selecting Continue Unfinished Enrollment. Select Continue to proceed to the next screen.
Select the Open Enrollment radio button. Then select Continue to proceed to the next screen. The Open Enrollment Wizard includes 5 tabs: Tab 1 - Appointment Tab 2 - Dependents Used to add additional dependents only Delete dependents in the Benefits Enrollment section (Tab 3) by removing them from each individual benefit plans in which they are currently enrolled Tab 3 Benefits Enrollment Enroll/Remove Dependents/Cancel Policy Tab 4 Miscellaneous Deductions not utilized Tab 5 Enrollment Summary
Tab 1 - Appointment There are no changes to be made in Tab 1. You may select Save & Exit at any time and return later to complete the wizard. ESS will remember where you were when you exited the wizard. You may move back and forth in the wizard by selecting Back or Continue. Select Continue to proceed to Tab 2 - Dependents.
Tab 2 Dependents You can not remove dependents who are currently insured by using this delete button. You will need to remove them from benefits on Tab 3. Dependents currently insured dependents are listed on the chart. You may add additional dependents on this tab by selecting Add. (If you want to delete a dependent, go to Tab 3 - Benefits.) You will be taken to the Dependent Information Change Page. Adding a dependent Complete the required information. Enter the dependent information on the Dependent Information Change Page
Place a check mark in the Address Information box at the bottom of the screen to automatically populate the dependent s address with your address. Select Save & Continue. Newly added dependent information will now appear on the dependent chart. Select Continue to got to Tab 3 Benefits Enrollment.
Tab 3 Benefits Enrollment Select Enroll by the insurance benefit you want to modify. To remove dependents select enroll and remove check next to their insurance enrollment. dependents or Waive to decline or cancel the entire Dependents eligible for benefits are listed on the first chart. The second chart lists the benefits that are available during open enrollment o Dental PPO o Dental Premier o Health Ins o Supplemental Vision If you are currently enrolled in a benefit, your current enrollment is listed with the option to Enroll or Waive o Select the Enroll option to change your plan, change your level or to remove a dependent from the policy. o Select the Waive option to cancel the entire policy for all participants
Enrollment in the Medical Insurance All Medical Insurance plans include Health and Blue View Vision eye care. o The Medical and Blue View vision eye care portion of the package is identified as HEALTH INS on the chart. You must select Enroll or Waive on the chart to make changes or enroll, which will take you to the specific Medical Insurance page. Enter 6 digit PCP number for the HMO.
If you select Enroll, place a check mark next to all dependents who will be on the policy. If you are removing a member, uncheck the box next to their name. Enrollment in the KeyCare Enhanced or KeyCare Core does not require a PCP number. Enrollment in Healthkeepers requires that you enter the 6 digit PCP number next to each member on the policy. You can search the Anthem provider directory at www.anthem.com for participating Healthkeeper providers and their 6 digit PCP number. Select the plan and level. Save & Continue to return to the Benefits Enrollment main tab. Enrollment in the Dental Premier, Dental PPO and Vision Service Plan (VSP) Enrollment in the medical package is not required to participate in these insurance plans. If you are currently enrolled in a benefit, your current enrollment is listed with the option to Enroll or Waive o Select Enroll, place a check mark next to all members who will be on the policy. o Select Waive option to cancel the policy. If you select Enroll, place a check mark next to all members who will be on the policy.
If you are removing a member, uncheck the box next to their name. Select the plan. Then select Save & Continue to return to the chart. You can select Save & Exit at any time. You can return later to complete the wizard. ESS will remember your last location when you exited the wizard and return you to that location. You can move back and forth in the wizard by selecting Back or Continue. Select Continue when enrollment and changes are complete. Flexible Benefits Program **NEW FOR 2017** Health Care Reimbursement and Dependent Care Reimbursement enrollment may only be completed by using the P&A Group online enrollment function. Please log on at www.padmin.com to enroll.
Tab 4 Miscellaneous This tab is not used. Select Continue to move to Tab 5 Enrollment Summary. Tab 5 Enrollment Summary Review your: Dependents Dependent Coverage Changes Benefit Enrollment Changes Things to Remember: You may select Save & Exit at any time. Return later to complete the wizard. ESS will remember where you were when you exited the wizard. You can move back and forth in the wizard by selecting Back or Continue. Your changes will not be recorded until you click the box at the bottom of the page and select Finish. You may not re-enter the wizard once you have selected Finish. Select Printer Friendly to print a Benefit Enrollment Wizard Summary for your records.