OPEN ENROLLMENT ONLINE INSTRUCTIONS

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1 OPEN ENROLLMENT ONLINE INSTRUCTIONS These instructions will help you navigate through BenefitBridge in making your Open Enrollment elections. For coverage beginning January 2015

2 After you register and log in you are ready to begin making your elections. Click Enroll in All Benefits to make Open Enrollment changes. There are 5 tabs for the enrollment process Personal, Dependents, Core, Optional, and Review. Your enrollment request is not complete until you get to the Review tab at the end of your interview and check the I agree box and select submit.

3 PERSONAL TAB A summary of your personal information will be displayed. If you need to make changes to your phone number or address, click on the Make Changes button, make the changes and click Save Changes. For name and address changes, you must contact your Department of Personnel Services Service Team representative for directions. A progress bar keeps you informed of your position through the election process: Once you are satisfied with Personal details, click Next Step.

4 DEPENDENTS TAB In this tab you should list any eligible dependent that will be enrolled in any of your coverages. If the dependent(s) listed are accurate, click OK, continue to Core coverage. If you need to add a dependent that is not listed: Click Add a Dependent, enter the required dependent information for each family member Click Add this Dependent (documentation and SSN are required) If you need to edit existing dependents information: Click Edit Dependent, click Make Changes, make the changes, click Save Changes, then Back to All Dependents If you need to remove a dependent because they are no longer eligible to be your dependent: Click Remove Dependent next to the dependent to be removed and provide the required reason and effective date, then check the yes box Click Remove Dependent If you need to disenroll a dependent from coverage but keep them eligible for future benefit enrollment: Do not remove them here, merely uncheck them from the appropriate benefit coverage Once you are satisfied with dependent details, click OK, Continue to Core coverage. IMPORTANT: Adding a dependent to this screen DOES NOT enroll them in any coverage. You must complete the enrollment/removal process on the Core tab AND submit the changes on the Review tab.

5 CORE TAB This is where you change coverages, and enroll or disenroll dependents. CLICK VIEW/CHANGE TIER TO CHANGE TO TIER B

6 CORE TAB (CONT D) For medical, check the dependents that should be enrolled Choose the medical plan you wish to enroll in.

7 CORE TAB (CONT D) Enter the Provider ID and check the box if this is your current doctor. Continue making changes to other core benefits if necessary.

8 OPTIONAL TAB You can enroll in Flexible Spending Accounts on the Optional tab, or you can enroll in VSP if you waive medical coverage or enroll in a High Deductible plan. If you have enrolled in an HMO plan, DO NOT enroll in the optional VSP plan, your coverage already includes vision.

9 REVIEW TAB Review all of your benefits and enrolled dependents. Carefully read the approval details and the Personal Information Summary. If the selections reflect the coverages you want, Check the I AGREE box, and then click OK, Submit for Coverage.

10 Congratulations, your enrollment has now been submitted for review! You may print a copy for your records or re-open your election if it has not already been approved to make additional changes. NOTE: If you enrolled dependents, your enrollment is not complete until you provide documentation (for example, SSN s, birth or marriage certificates, etc.) to the Benefits Office within 7 days of submitting your online enrollment. If the documentation is not received by October 31 at 5:00PM, your changes will not be approved. Documentation can be faxed to the Employee Benefits Office at (916) or ed to MyBenefits@saccounty.net. Include your employee ID or SSN on all documents.

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