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

Enter the Enrollment Wizard by selecting the large “blue arrow” at the bottom of the screen.

Select to Enter the Enrollment Wizard

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 this option if you

have started an enrollment

that you wish to finish.

Select this option the

first time you enter

the Wizard.

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

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

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.

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

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

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

insurance policy.

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.