Enrollment Wizard - AMS ADVANTAGE Employee Self Service
Contents
1. 2 General Information Announcements Employee mis 0000020366 OPEN ENROLLMENT ApptiD more Name GIBSON MEL SSN 999 00 9999 Appt Date 01 01 2008 OOO e Title HR OFF II Sub Title HR OFF II Last Timesheet Processed LARY more Street 1 2000 STAR LIGHT WAY Pay Summary Last Paycheck Issued Gross Pay Amount City HOLLY WOOD State Province CA Zip Postal Code 99999 Home Phone Contact Name GIBSON GRETCHEN z ai 595 kun nr Select the blue arrow located at the more bottom of your home page to begin Do you want to launch the Enrollment Wizard te Select the Launch the Enrollment Wizard button more your open enrollment for 2010 During Open Enrollment you may enroll in benefits programs and or make changes to existing coverage for yourself and your dependents Once you make a selection and complete your open enrollment you will not be able to change these selections during the plan year unless a qualifying status change event occurs The Benefits Enrollment Wizard is basically an electronic enrollment form with built in resources to help you complete the benefits enrollment process Welcome to the Benefits Enrollment Wizard The Welcome page of the Benefits Enrollment Wizard features two radio buttons to either start a new enrollment or continue an ongoing enrollment from a previous session 1 Select Start New Enrollment or Modify Existing Enrollment if you wish to begin2. Click on the Home tab near the top of the screen Click on the Downloadable Forms tab hear the top of the screen Click on the name of the form or policy needed e g MINN LIFE ENROLL NOTE Click the Next button to go to the next page of forms if applicable Click on the form document PDF file under Form Attachments section Click Open or Save Click File Click Print Click OK Downloadable Forms My Work in Progre ESS CLAIM FORM Topic Benefit Department ALL Walgreens Health Initiatives 2009 Description Preferred Medication List Additional Information Link Form Attachments 21
3. Volusia County FLORIDA Employee Self Service Table of Contents AMS Advantage Employee Self Service ESS csscccsscsssssecccenccssnscescessccesscessnsceaceseccesneeseeseseesencenees 2 Employee Self Service ESS Open Enrollment Instructions ccccceccseceseceseeeeeeeeseeceseceeeseeeeeseeeaeens 2 AMS Advantage Employee Self Service Home Page c ccccccscceseceseceeseeeseeceseceeeeneeeenseecaeceseeneeeennees 3 Primary Navigation Pane lsrs cocoteocsuisedunssissoinaavecbneciesshsecawusaneadsWoconsanesasacuasennsdnwmnsatuebonenispeacsamnsinieusnebues 3 Navigation BUON S essri pin a EE E A E EAE A ARE ERS 4 Yo r Current Benefitsiessen aenneren aeiiae En Eie Saara ES S EAEEE SEARE E Tae Ane EEEE EE EESE E aiei eE 5 Enrollment Wizard jc saicwsisrcasussnnstceandbvuentbapadevnssioncastsvuneswbsiwasudcernestomiassleskasadswaurtdestenscneucisesesinsscdseesioeshiiecceves 6 Welcome to the Benefits Enrollment Wizard cccactsiccsesicsccsnsssescvsatsaccees sccm sanapeetunsantcessbeaceapin peccspalanccteiancien 7 SNA OM UMS TE seere a E E E E N EE E A 7 Adding or Modifying Dependent Information siccccsisscessasssscsnsseuseensnsesdsnedenvsassausacannivsbenasaceusnsvasuvenseabarsaneds 7 Maintaining Dependent Information s sasssasssccusssetnevstesanvednccsndussninteieddeuseiotelentadaraderenseatete ds essssatanessseanbesas 8 Adding a Dependeht juesccsexsipecsannee sshd sishdssacoinasaeensns o EE ENS NEE Eo ES ETER A ANERER EEE OEE EE a 9 D
4. You may only choose one oO lt Lue i type of coverage a LE JN You may only elect coverage for Heart Care OR Critical Iliness Choose the dependents you would Lapa spe by enterin ng 2 check mark next i eag r name If you wou Id like to add a dependent not listed you must go back to the dependents page and add the dependent If you would like oll a dependent uncheck the box their name Select the Coverage Plan that corresponds with the type and r per of dependents you chose priri rate table for Critical Care is located in sraka Gu apii or in ESS under down Mpeni le forms Enter the biweekly rate to correspond with Lp vadpebtec amo If you are curren tly enrolled under critical Iliness enter your current rate and c nt amount your current rate is Meese or n left hand side of the benefits enrollment nt Sarai men a Your rate is peaa ince eons To select the Heart Care benefits scroll to the far right of your screen s and Heart Care are a not guaranteed issue to enroll change or cancel these benefits you will need to complete a form Forms are located in your benefits guide and on ESS adable Forms Please complete a c o Personne Novembe 009 ot received this benefit w ack to your 2009 plan coverage If currently enrolled select the level of coverage you have and enter your current biweekly 30K Critical Care 5 deduction this is located on the right hand side nt Specitic amo of your benefits enroliment page z Pay Period ea
5. leting a Dependent soanar e EE ENEA E rece eae 9 Benefits Enrollment ecreis eeaeee aeaieie aare wa CERERE E Taa ae E ERER eS 10 Wellness Dollars ersrienrnenarner nna E E E ER 11 HPP Medical and Dental Coverage ssc saccs sak secssnnrencsssvswacesednsastnstannGaseainncaseekenteiadees aobuvnese A EEE EEE 12 HPP st nm ee e E E E A eee EE 13 Safeguard Dental Coverage aipiccsasaracateecscesuasadecectelaassdauitesasiehnexasiesteccend a E E E RR 13 Minnesota Life INS UT AMC isostni eana A E E EAEE AEE EE EE EEEE TEREA 14 Employee Life TS UT ANG irereport Ta a EEE E EELER EREE RET EE 14 Spouse Lite Ti Ce icsse ey acdacidexe ui ERENER EAEE EE EAEI REEERE TE SRNT 14 AAR a I AN EE E T E T E 15 Cancer SUL ANCE Aunccaucnistsicenswaccvancuncsuduvinsdeveariacutaunncexuntiineantstwn lt susuuseeenvwnddnanesnacssuessds ONSEN E A NEANKE S 16 Critical Mies INSTA Ces ssascaiisssicxanacnnceteas shecaaanasdantbaatexanentuccinds AKOE EEE ERTER 16 Heart Me oil L011 6210 ce ne ee ee ee em ere ese apne eee ee E ee ener E eee ener eee 17 EBS Flexible Spending ACCOUDIS cccaxcscccdnncccevesecceiedacevaincenmayeeehereinns eet ee ead 17 Entollm nt Svar y osere E E E pa AA EE AA EE AEE EATE EEEE EEEE 19 Downloadable FOr S serie e EE N EE EEA EIEEE FART OEE 21 AMS Advantage Employee Self Service ESS ESS Introduction Welcome to Volusia County s Employee Self Service ESS ESS is a website where employees can view their own payroll and personal information and updat
6. the Business Functions change as you move through the system If for example you select My Information the list of available tabs is reconfigured to feature links that help you to move about the My Information activity folder When another business function is selected the tabs available are changed in relation to the selected business function Moving through the Sections of Pages and Documents After accessing a particular document or page links to the various sections and subsections of the selected document are listed at the top of the page below the show tabs These links can be used to open various sections of the document or page You can use the arrows placed at the top of the document or page to expand or collapse all sections at once My Time and Attendance My Accounting Overrides My Compensation Paycheck Calculator My Information Jobs l Dependents Dependent Benefits Employee Benefits and Deductions l Past Enroliments l Current Enroliments l Future Enrollments Sections Comment Dependent Benefits ID FirstName Last Name Type Class Type Sub Class Plan Class Ov I7 OLLE GIBSON HEART amp CRITCAR CRITICAL CARE FAMILY 7 OLLE GIBSON HEALTH PLAN HPP PLAN FAMILY 17 OLLE GIBSON HEALTH PLAN HPP PLAN FAMILY 17 OLLIE GIBSON LIFE CHILD LIFE CHILDREN 10K CHILD LIFE 18 DUDLEY GIBSON HEART amp CRITCAR CRITICAL CARE FAMIL amp DUDLE GIBSON HEALTH PLAN HPP PLAN FAMILY 18 DUDLEY GIBSON LIFE CHI
7. CARE WAIVED COVERAGE HEART WAIVED COVERAGE LIFE SPOUSE WAIVED COVERAGE VISION PLAN WAIVED COVERAGE You have three steps to complete your enrollment 1 Check the box for your electronic signature 2 Select the Finish Button 3 Look at the top of your screen for Message Submitted Succesfully Pending Approval Miscellaneous Deduction Deduction Type Desc Deduction Plan Desc Plan Cost Goal Amount Goal installments From To Status Action In order to submit your changes you must confirm that you agree to security terms by checking the following box This serves as your electronic signature and submission of Benefit Enrollment changes Please read these directions You may only complete your open enrollment one time please make sure your selections are correct You may print a copy for your records or you may log back into ESS any time to see your benefits You will be able to verify your coverage after Personnel has approved your selections To verify your coverage log back into ESS in 1 2 days and select mybenfits future enrollments To see your final enrollment and any benefit changes or wellness are complete please log back into ESS after December 7 2009 Please Select the Finish Button to complete your open enrollment For you enrollment to be complete you will receive a message at the top of your screen Submitted Successfully Pending Approval ee ee SS 1 App
8. If all of your dependents information is correct select the Continue button located at the bottom of the page to proceed to the next step DependentID FirstName LastName Relationship Desc Gender FT Student Dependent Info Effective On Dependent Info Expires On v 1696 GRETCHEN GIBSON SPOUSE No Entry No 01 01 2008 12 31 2009 1697 OLLIE GIBSON SON Male No 01 01 2008 12 31 9999 1698 DUDLEY GIBSON SON Male No 01 01 2008 12 31 9999 ob Dependent Information Dependent ID 1696 Dependent Info Name Prefix Effective On 01 01 2008 First Name GRETCHEN Dependent Info Expires Middle Name On 12 31 2009 Last Name GIBSON Disability Name Suffix Disability Desc Social Security 111 00 1111 Pr stem Relationship Desc SPOUSE Birth Date 12 25 1955 Gender N Wedding Date 06 25 1983 Date of Death Divorced Separated 8 Adding a Dependent To add a dependent from the Dependents page of the Benefits Enrollment Wizard perform the following steps 1 Select the Add button to open the Dependent Information Change Page 2 Enter the following information a First Name b Middle Name c Last Name d Social Security Number e Relationship you may access the relationship table by selecting the arrow to the right of the field f Gender g To Date is always 12 31 9999 h Disability if applicable i Full Time Student j Birthdate k Wedding Date for Spouse 3 Select the copy button to insert your address 4 Select
9. and type in your User Name 2 Click in the password field and type your Password 3 Click on Login Note The Reset button next to Login isn t operational Changing My Password 1 Select the My Desktop workspace tab on the left of screen 2 Select the Change Password tab at the top of screen 3 Under the Change Password section click in the Old Password field and enter your old password 4 Click in the New Password field and enter your new password 5 Click in the Verify New Password field and enter your new password 6 Click on the Change User Password button NOTE lf you have never logged into ESS before then your initial Password is the last 2 two digits of your of birth year and last four digits of your social security number for example YYSSSS 671245 Your initial password is set up to automatically require you to change it upon your first log in Password Facts y You can change the password to something you will remember v Password must be at least six characters long and include one number v User name and password are case sensitive User name will always be lower case y Password will expire after ninety days and the system will prevent the reuse of the last ten passwords NEVER give your password to anyone If you feel your password has been compromised change it immediately y Your account will be suspended if you enter the wrong password three times in a row Call the Information Technology Support Desk
10. at extension 5222 to have it reset S Log Out of ESS Click on the Logout link in the top right corner of the screen to exit the ESS system don t click on the X in the upper right corner Always log out to prevent unauthorized access AMS Advantage Employee Self Service Home Page The AMS Advantage ESS Home Page is the first page you see after logging into the system Also you can return to the Home Page from any other page in the system by selecting the Home icon on the upper right hand side of the page The Home Page features three areas containing major navigation devices available within ESS Primary Navigation Panel Workspace Tabs Business Functions Primary Navigation Panel This is located at the top left of the screen and enables you to v Return to the Home page y Access the ESS Frequently Asked Questions y Access the Online Help v Print Page y Logout Business Functions are located at the top of each Workspace Tab Workspace Tabs are located at the left of the home page My Desktop Workspace Tab contains the following business functions Home Change Your Password Forms and Websites My Work in Progress My Completed Work Announcements Broadcasts and Alerts My Info Workspace Tab contains the following business functions My Information My Time and Attendance My Accounting Overrides My Benefits and My Compensation Unlike the static icons and links of the primary navigation panel
11. dependent by selecting the appropriate button located under the grid Please check the social security number birthdate and or date of marriage for all dependents carefully To View Dependents If there is only one dependent listed on the grid details about that dependent will be located on the lower portion of the page To view your dependent information expand each section by selecting the section link at the top of the page or by using your mouse to click on each header 7 OR If there is more than one dependent listed on the grid select the dependent that you want to view by clicking once on the appropriate line The lower portion of the page provides details pertaining to the selected dependent To view your dependent information expand each section by selecting the section link at the top of the page or by using your mouse to click on the arrow to the left of the section title Once you have verified your dependent information is correct select the Continue button to proceed to the next page Maintaining Dependent Information To modify existing dependent information from the Dependents page of the Benefits Enrollment Wizard perform the following steps 1 Select the dependent whose information you want to modify from the grid by clicking on the appropriate line with your mouse 2 Select the Maintain button The Dependent Information Change Page is displayed with the previously recorded information pertaining to the de
12. pay for this coverage Enter the biweekly rate for the amount of Life Insurance you PLAN MINNESOTA LIFE SPOUSE have purchsed on your spouse This rates are located under Type MINNESOTA LIFE SPOUSE PLAN Life Rates PoE Specific Amount 0 00 Payroll Deduction 100K SPSE LIFE Child Life Insurance You may purchase Term Life Insurance on your eligible child ren in 2 000 increments to a maximum of 10 000 You must also purchase Term life insurance for yourself Life insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also found on ESS under Downloadable Forms SUPPLEMENTAL TERM LIFE CHILD REN Choose the dependents you would like covered by entering a check mark next to their name Select the button corresponding with the amount you currently have for your children or would like to purchase This policy is deducted from your paycheck on an after tax basis You may not use your flex dollars to pay for this coverage For your children to qualify for life insurance you must currently have or purchase term life for yourself You must complete this form for new coverage and any changes Life Enrollment Form You must complete this form to cancel your coverage Cancellation Form All enrollment and change forms must be completed and returned to Personnel by October 14 2011 PLAN MINNESOTA LIFE CHILD Type MINNESOTA LIFE CHILDREN PL
13. AN P i j nate ee Default Pay Period Amount 0 60 10K CHILD LIFE oO 15 Cancer Insurance Cancer insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also found on ESS under Downloadable Forms For additional information on this plan please refer to your Benefits Guide Critical Illness Insurance You may select coverage from 5 000 00 to 50 000 00 The cost for this coverage is listed in your Benefits Guide and on ESS Down Loadable Forms Your premium is based on your age at issue your tobacco usage status and basic benefit amount you select Your premium does not increase with age Critical Illness insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also found ESS under Downloadable Forms Critical Illness is set up a value based deduction You must enter an override amount in the provided field This value will be the amount that is deducted for each paycheck These are required fields for this type of deduction so they must be entered If you are currently enrolled under Critical Illness enter your current amount and rate listed For additional information on this plan please refer to your Benefits Guide Dep G MEL Heart Care and Critical Illness are together on one Oo c GRETCHEN E benefit enrollment page
14. GIBSON OLLIE SON would like to enroll them in this benefit v GIBSON DUDLEY SON Choose the dependents you would like covered by entering a check mark next to their name If you would like to add a dependent not listed you must go back to the dependents page and add the dependent If you would like to un enroll a dependent uncheck the box next to their name Select the Health Coverage Plan that corresponds with the type and number of dependents you chose Please look at the plan and type on the left we have employee only couple single parent and family we also have full time part time and split plan coverage choices If you have other medical insurance and do not select the County Health Insurance you may choose the No Coverage option you must provide proof of your other insurance coverage to Personnel Important Flex Dollar Information If you are full time and select single coverage or the no coverage option you will have flex dollars to spend These dollars are indicated by the negative dollar sign these flex dollars must be spent on pre tax insurance choices HEALTH PARTNERSHIP PLAN HEALTH PARTNERSHIP PLAN MEDICAL AND DENTAL eRe Choose the benefit plan If you have Heath See that cooresponds with Insurance with another Pay Period your number of plan you may choose the Payroll Deduction COUPLE PT dependents covered and No Coverage Option sei your employement status
15. LD LIFE CHILDREN 21 GRETCHEN GIBSON HEART amp CRITCAR CRITIC GRETCHEN GIBSON HEALTH PLAN Dependent Benefits Dependent information ection Links that allow access to various secitons and subsections ride Coverage Wy Desktop alo i My Info 3 BPEL 0 h i o o Y Arrows can be used to expand or collapse all document or page sections gt 12 12 2008 v Dependent Information ID 17 Name GIBSON OLLIE Individual sections can be expanded or collapsed with these arrows D gt om 03 08 2008 To 12 12 2008 Type Class HEART amp CRITCAR Type Sub Class CRITICAL CARE Navigation Buttons The Benefits Enrollment Wizard contains a special set of navigation buttons to help you walk through the benefit enrollment processing The Navigation buttons include Back button A single click on the Back button navigates you to the previous step in the enrollment process If the user selects Back on the Employee Tab of the Enrollment Wizard the Back button returns you to the splash page 4 Continue button A single click on the Continue button navigates you to the next step in the enrollment process Within the Benefits Enrollment Wizard the Continue button also denotes that a user has Accepted the information that has been entered Save amp Exit The Save amp Exit button saves your cha
16. SE Pa one 5 For new coverage you will need the biweekly rate located in your benefits guide or under ESE f TF ay Portoa Specific Amount Specitic Amount pavon Danusia gt downloadable forms on ESS 16 Heart Care Insurance You may elect coverage for Heart Care or Critical Illness coverage you may not elect coverage under both plans Heart Care insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also found ESS under Downloadable Forms For additional information on this plan please refer to your Benefits Guide For Heart Care scroll to the far Default Pay Period Amount 10 84 left of your screen Default Pay Period Amount 21 08 Oo EBS Flexible Spending Accounts You may choose to establish a medical and or dependent care spending account If you have not used all of the County flex dollars this amount will need to be spent in one of these options Remember to enter the TOTAL amount you want in this account including any leftover flex dollars or Wellness dollars You must re select this coverage each year EBS Medical and Dependent Care Reimbursement accounts are set up as a Goal Based Deduction You must enter the yearly goal amount in the required field Then select Calculate Once Calculate is selected the deduction amount that will be taken each pay period is determined Se
17. You must provide proof EMPLOYEE ONLY The benefit types with PT of insurance Pay Period Payroll Deduction EMPLOYEE PT is for Part Time employees Default Pay Period Amount 6 92 Default Pay Period Amount 13 85 Pay Period Default Pay Period Amount 232 94 Payroll Deduction FAMILY PT Pay Period Default Pay Period Amount 104 61 Payroll Deduction fe SINGLE PARENT Pay Period Default Pay Period Amount 184 12 Payroll Deduction PARENT PT Pay Period Default Pay Period Amount 18 86 Payroll Deduction SPLIT EMPLOYEE Pay Period Default Pay Period Amount 18 86 Payroll Deduction SPLIT FAMILY Once you have made your selections select Save amp Continue to return to the Benefits Enrollment page 12 HPP Vision Re Enrollment of Coverage If an employee chooses to drop vision coverage for one s self or dependents the employee and or dependents will not be able to re enroll in the vision plan for a minimum of five 5 years If after five 5 years they choose to re enroll in the plan or add dependents formerly on the plan a one 1 year pre existing condition waiting period will be imposed Choose the dependents you would like covered by entering a check mark next to their name If you would like to add a dependent not listed you must go back to the dependents page and add the dependent If you would like to un enroll a dependent uncheck the box n
18. a new enrollment session or override any unfinished enrollment that you may have started previously 2 Select Continue Unfinished Enrollment if you have entered the system to complete an enrollment that was started and then saved in a previous session Welcome to the Employee Self Service Wizard Select the Open Enrollment radio button or circle and then choose the Continue button at the bottom of the page Click on the radio dial C and select continue Opeh Enrollment Beginning this year you do not have the option to select wellness dollars in ESS You must submit your completed Wellness Form to Personnel no later than Friday October 30 2009 in order to be eligible for this benefit If you submit a Wellness Form and Personnel has confirmed you qualify for the benefit you can log in to ESS on or after December 07 2009 to see the benefit added under the Future Enrollments section Appointment An appointment is simply a term for your role or title with Volusia County The My Benefits activity folder gives you the ability to view the details associated with your position or appointment such as your title and department Adding or Modifying Dependent Information The Benefit Enrollment Wizard allows you to add or modify dependent information using the Dependents page which features a grid used to display the dependents entered into the system You can add dependents or update information about a previously recorded
19. e certain information online such as benefit enrollments during the annual Open Enrollment period This information is intended for the sole use of the individual employee All information entered submitted into ESS may require additional approval by Personnel before taking effect Please contact Personnel at 386 736 5951 if you have any questions Unauthorized access of an employee s information is prohibited ESS User Name and Password All employees have an ESS user name which is typically the same as their KRONOS user name Sheriff Office employees add SO after user name If you need additional assistance with your ESS user name and or password contact the Information Technology Support Desk at extension 5222 or IT SupportDesk co volusia fl us Personnel Division Support If you have any questions concerning using AMS Advantage ESS that are not password user name related contact Personnel at 386 736 5951 ext 5951 and ask for a Human Resource Payroll Representative An ESS User Manual is available for download on Personnel s ENN site at http enn personnel scroll down to Training section Employee Self Service ESS Open Enrollment Instructions Accessing ESS ESS can be accessed two ways From the County s ENN Intranet site at http enn or from the County s Internet site at http www Volusia org Personnel Click on the Advantage ESS link on either page to begin Log In to ESS 1 Click in the user name field
20. er future Go Co GZD Caa 10 Wellness Dollars Wellness dollars have changed for ESS enrollment You will not select your Wellness choices in ESS You must submit your completed form to the Personnel Division A Wellness form is provided in your Benefits Guide or you may print the form from Personnel s ENN page or from ESS To qualify for 100 Wellness Dollars you must answer NO to Question 1 regarding tobacco usage You do not need to pass any of the health questions To qualify for 200 Wellness Dollars you must answer NO to Question 1 and pass any two 2 of the established wellness standards listed on the Wellness form To qualify for 300 Wellness Dollars you must answer NO to Question 1 and pass ALL four 4 of the established wellness standards listed on the Wellness form You must indicate on your Wellness form how you would like your Wellness dollars spent Your wellness dollars may be used two ways 1 you may select to use your Wellness dollars as part of or all of your flexible spending reimbursement accounts medical or dependent care OR 2 you may use your Wellness dollars to help offset the cost of your bi weekly insurance premiums Example 1 You choose EBS Medical Spending Account on your Wellness form If you selected 1000 00 for a yearly goal in ESS and then submitted your Wellness form to Personnel to qualify for 300 00 dollars with the EBS Medical Spending Account marked on your welln
21. ess form your yearly goal will not change to 1300 Your wellness dollars will be used to pay for part of your selected yearly goal Example 2 You choose to lower the cost of current insurances on your Wellness form If you have couple coverage for the Health Partnership Plan with a bi weekly cost of 104 61 and you qualify for 300 00 Wellness dollars your bi weekly deductions for the plan year would decrease from 104 61 to 93 07 HPP Medical and Dental Coverage The County of Volusia offers coverage under the Health Partnership Plan The plan is self administered by the County The County contracts with FSAI to process health claims and provide customer service Please read your Health Partnership Plan Summary Plan Discription for a complete list of coverage rules Under this benefit selection you will find rates for Part Time employees Full Time employees and the no coverage option Please make your selection carefully Part Time employees work 29 hours or less a week Single Parent is coverage for the employee and 1 to 2 children To qualify for the no Coverage option and be eligible to receive the flex dollars you must reapply every year and provide proof of your other health insurance Benefit Enrollment Dependent Last Name Dependent FirstName Relationship Desc Primary Care Physician v GIBSON MEL SELF P ceson ZEMS ee Check the box next to your dependents name if you v
22. ext to their name Select the Coverage Plan that corresponds with the type and number of dependents you chose PLAN HPP VISION PLAN Type VISION HEALTH PARTNERSHIP PLAN Pay Period Default Pay Period Amount 8 34 Payroll Deduction O COUPLE COVERAGE Pay Period Default Pay Period Amount 4 15 Payroll Deduction EMPLOYEE ONLY Pay Period Default Pay Period Amount 10 39 Payroll Deduction FAMILY Pay Period Default Pay Period Amount 6 00 Payroll Deduction SINGLE PARENT Safeguard Dental Coverage This is an additional HMO dental plan and you must use their dentists Remember dental coverage is included with your health plan Thus this dental option is primarily for dependents not covered by the County health plan and for employees who opt out of the health coverage To enroll change or cancel these benefits you must to complete the form located in your Benefits Guide or also found on ESS under Downloadable Forms For additional information on this plan please refer to your Benefits Guide 13 Minnesota Life Insurance Additional Term Life Insurance coverage is available through Minnesota Life You cannot use your County Flex Dollars for these premiums Application for new or any changes of this plan is not a guaranteed issue Minnesota Life must approve acceptable evidence of your good health which may include a paramedical exam or physician s statement You do not need to enter a rate into ESS f
23. information that you entered into the system for your review Make sure that all of your dependents are listed and are enrolled in the type of coverages you want You may print the Enrollment Summary page or log back into ESS at any time to see your benefit choices 19 5 Enrollment Summary ee iD gt ca ao Dependents DependentID Dependent Name Relationship Desc Birth Date Gender FT Student From To Status v 1696 GIBSON GRETCHEN SPOUSE 12 25 1955 No Entry No 01 01 2008 12 31 2008 No Action 1697 GIBSON OLLIE SON 01 01 1985 Male No 01 01 2008 12 31 9999 No Action 1698 GIBSON DUDLEY SON 12 25 1955 Male No 01 01 2008 12 31 9999 No Action Dependent Coverage Dependent Name Benefits Class Desc Primary Care Physician Coverage From CoverageTo Status Action v GIBSON GRETCHEN HEALTH PLAN 01 01 2010 12 31 2010 Update GIBSON OLLIE HEALTH PLAN 01 01 2010 12 31 2010 Update GIBSON DUDLEY HEALTH PLAN 01 01 2010 12 31 2010 Update GIBSON OLLIE LIFE CHILD 01 01 2010 12 31 2010 Update GIBSON DUDLEY LIFE CHILD 01 01 2010 12 31 2010 Update Benefits Enrollment Benefit Class Desc Type Description Plan Description BenefitCost Primary Care Physician PayrollFrom PayrollTo CoverageFrom CoverageTo Status Action v EBS MEDICAL 12 13 2008 12 11 2009 01 01 2008 12 31 2009 No Action HEALTH PLAN HPP PLAN FAMILY sen Taas EEA nets LIFE CHILD LIFE CHILDREN 10K LIFE LIFE EMPLOYEE CANCER PLAN WAIVED COVERAGE DENTAL PLAN WAIVED COVERAGE EBS CHILD
24. lect the radio button to select the coverage Select Save amp Continue 17 The maximum yearly goal amount allowed is 3000 00 Example If you select 1000 00 for a yearly goal and submitt your wellness form to personnel to qualify for 300 00 dollars We will not change your yearly goal to 1300 00 We will use your wellness dollars to pay for 300 00 of the 1000 00 yearly goal you selected Directions for completing this screen 1 Enter yearly goal amount total you want for the year in the Revised Goal Amount Box 2 Click on Calculate this will show you the biweekly amount 3 Click on the circle or radio button located under Default Pay Period Amount to select the coverage 4 Select save and continue to return to the main benefits page PLAN EBS MEDICAL REIMBURSEMENT Type EBS MEDICAL REIMBURSEMENT Current Goal 0 000 Current Contribution 0 0000 Revised Goal Amount Pay Period Payroll Deduction EMPLOYEE ONLY Number of Pay Periods 26 Pay Period Amount 76 92 OR Default Goal Amount 0 00 cancel 1 Enter the annual amount you want for you EBS Medical Spending Account 2 Click on Calculate this will show you the biweekly amount for your deduction 3 Click on the radio dial located under default pay period amount 4 Select Save amp Continue at the bottom of the page 18 Miscellaneous Deductions Page This page is currently not in use gt VVe are curre
25. nges closes the Benefit Enrollment Wizard and returns you to the ESS Welcome Page Reset button The Reset button will undo or reset any data changes that you made on that step of the Benefit Enrollment Wizard Cancel button The Cancel button allows you to close the Benefit Enrollment Wizard at the beginning stages of the process Since no actual benefit enrollment information has been entered at the points that the Cancel button exist no information needs to be saved Finish button The Finish button completes the benefit enrollment process and submits your changes to Personnel This button can only be selected when the Agreement checkbox has been checked Your Current Benefits After successfully logging into the system the My Benefits MYBENF activity folder enables you to view details pertaining to your dependents benefits and deductions recorded in the system To see what coverage you currently have 1 Select the My Info Workspace Tab at the left hand side of the home page Select and expand the My Info workspace tab from the left hand side of your window My Info enables you to view and update basic information about yourself recorded in the system ieee Pa eee Employee IL ote E sS ret Ma 2 Select the My Benefits Tab Select My Benefits business function located at the top of your window The My Benefits MYBENF page is opened with various tabs of the activity folder displayed to help
26. ntly not using p p this screen Select 4 Miscellaneous Deductions Continue to proceed to a n n the Benefits Summary Choose a credit union option for enrollment DEDUCTIONS CURRENT ENROLLMENT Type ACTION Enroll Unenroll Type Plan Cost Enrollment Summary You have three steps remaining to completing your enrollment Agreement At the bottom of the Enrollment Summary page under the statement In order to submit your changes you must confirm that you agree to security terms by checking the following box Selecting this serves as your electronic signature and submission of your Benefits Enrollment changes Finish At the very bottom of the page you will find the Finish button which completes the benefit enrollment process and submits your changes to the Personnel Division for processing This button can only be selected when the Agreement checkbox has been checked described above Make sure you receive this message You will receive a message at the top of your screen Submitted Successfully Pending Approval If you do not get this message after hitting the Finish button please try to go back one page and try again If still unsuccessful call Personnel You may only complete your ESS Open Enrollment one time Please check your selections carefully The Enrollment Summary features several grids summarizing the dependents dependent coverage benefit enrollments and miscellaneous deductions
27. ointment 2 Dependents 3 Benefits Enroliment 4 Miscellaneous Deductions 5 Enrollment Summa If you have successfully completed your 5 Enrollment Summary enrollment you will see this message at the top of your screen After Personnel has approved your Back GES EL f enrollment you will be able to log back into ESS and see your benefits under myinfo Dependents mybenefits future enrollments DependentID Dependent Name Relationship Desc Birth Da 20 Downloadable Forms In addition to enrolling or waiving benefits using ESS a form may be required from the benefits vendor for any policy changes cancellations or additions For example if an employee wishes to enroll or cancel coverage with Minnesota Life the supplemental insurance vendor a form is required Forms are located in your Benefits Guide or can be downloaded in ESS under the Downloadable Forms tab It is the employee s responsibility to obtain and complete the necessary form S and submit all completed and needed forms to the Personnel Division Personnel will no longer automatically send out the form Downloading Change Forms and Policy Information Employees must submit when applicable a completed policy enrollment change or cancellation form s for the applicable benefit plan If you are unsure about which form is needed please contact Personnel at 386 736 5951 or extension 5951 To download the policy form or policy information
28. or your Life Insurance it is automatically calculated by the payroll system based on your age Life insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also found on ESS under Downloadable Forms For additional information on this plan please refer to your Benefits Guide Employee Life Insurance SUPPLEMENTAL EMPLOYEE TERM LIFE This policy is in addition to your County provided life insurance Select the button corresponding with the amount you currently have or would like to purchase You may select Cancel to return to the Benefits Enrollment page to see your current coverage amount Employee Life Insurance Rates Life Rates You must complete these forms for new coverage and any changes Life Enrollment Form and Life EOI Form You must complete this form to cancel your coverage Cancellation Form All enrollment and change forms must be completed and returned to Personnel by October 14 2011 This policy is deducted from your paycheck on an after tax basis You may not use your flex dollars to pay for this coverage PLAN MINNESOTA LIFE EMPLOYEE ONLY Type MINNESOTA LIFE EMPLOYEE PLAN Pay Period Payroll Deduction 100 000 00 Spouse Life Insurance Spouse Life Insurance is set as a value based deduction You must enter an override amount in the provided field This value will be the amount that is deducted for each paycheck These a
29. pendent appearing in the fields 3 Update the information that is displayed in the following fields overwriting existing data if necessary Note denotes a required field 4 Then select the save and continue button to return to the dependents page i i AEL GIBSON pS TTT AI AS aavan ESS fia ees a mes ciate The dependent highlighted in yellow is whose information you can scroll down to see If any information is incorrect select 2 Dependents the maintain button to correct and then select save amp continue button to return to the dependents page The dependents listed below are available for enrollment into your 2010 benefit choices On this page you may add new dependents or correct information on your existing dependents Please veri ify your dependents carefully checking their social security number birthdates and or date of marriage To view dependents information click on the line with that dependents name and scroll down the page To correct information on a current dependent select the Maintain button make the necessary changes and click the Save amp Continue button To add a new dependent select the Add button A dependent must be added before he she can be enrolled for any benefit coverages To cancel any benefits of a dependent you unselect their name on the actual benefit coverage on a later page To completely remove a dependent you must contact Personnel at 386 736 5951 x5951
30. re required fields for this type of deduction so they must be entered If you are currently enrolled in this deduction the page will pre populate with your current deduction Spouse coverage terminates at age 70 You may purchase Term Life Insurance on your spouse in 10 000 increments to a maximum of 50 of the Employee s Voluntary Term Life coverage you have purchased for yourself 14 Life insurance is a not guaranteed issue To enroll change or cancel these benefits you must complete the form located in your Benefits Guide or also located on ESS under Downloadable Forms SUPPLEMENTAL TERM LIFE SPOUSE Choose the dependent you would like covered by entering a check mark next to their name Select the button corresponding with the amount you currently have or would like to purchase You may purchase Term Life Insurance on your spouse in 10 000 increments up to a maximum of 50 of the Term Life you have purchased for yourself You may select Cancel to return to the Benefits Enrollment page to see your current coverge Spouse Life Insurance Rates Life Rates r You must complete these forms for new coverage and any changes Life Enrollment Form and Life EOI Form You must complete this form to cancel your coverage Cancellation Form All enrollment and change forms must be completed and returned to Personnel by October 14 2011 This policy is deducted from your paycheck on a after tax basis You may not use your flex dollars to
31. sponding Enroll link This will open the window for that benefit plan Here you will be able to change your coverage levels change your dependent s covered and see the cost for that benefit choice Once your selections are made you select Save amp Continue to elect that benefit choice Or you may choose Cancel and you will return to the Benefits Enrollment Page to select your next benefit from here you can waive the benefit To waive your enrollment into a benefit program select the corresponding Waive link If you choose waive this will cancel your existing enrollment or allow you to not elect that benefit choice for the plan year Only after you have chosen to either Enroll or Waive for every benefit choice and they are all set to Reset will you proceed to the next page ACTION BENEFIT Required Class EBS MEDICAL ARAR see the benefit types you have LFE CHILD F elected listed under future L RFE CHLD 0G LIFE EMPLOYEE i enrollment LIFE EMPLO 100K LIFEEMP 0 00 CANCER PLAN DENTAL PLAN p Type Plan Cost Primary Care Physician Enroll Waive If you elect the coverage you will f z a Before you f can proceed to the next step every benefit type must have RESET EBS CHILD CARE No Coverage HEART No Coverage LIFE SPOUSE No Coverage VISION PLAN No Coverage If you waive the coverage you will see waived coverage listed und
32. the Save amp Continue button at the top of the page to record dependent information in the system Dependent Information Change Page Toadda dependent fill in the PT the fields below to add or maintain dependent information v Dependent Information Dependent ID From Ez FirstName WO o To 12 319999 E Middle Name Ee Disability Noo g Last Name County ss Disability Desc NOT HANDCP Name Suffix Full time Student Yes Social Security 111 22 3333 Birth Date 01 07 1996 E Relationship So J Wedding Date P Relationship Desc SON Date of Death E Gender Male Divorced Separated Date a v Address Information Click here to copy your address as the dependents address GD Deleting a Dependent To cancel any benefits of a dependent you unselect their name on the actual benefit coverage on a later page To completely remove a dependent you must contact the Personnel Division at 386 736 5951 or extension 5951 Benefits Enrollment We are using Positive Enrollment for benefits versus Passive Enrollment With Positive Enrollment you are kept aware of all of the benefits available to you and you are required to take action on each benefit You must choose either ENROLL select or WAIVE cancel for ALL benefit choices to proceed to the next step If you do not see the Enroll or Waive button scroll to the right of your screen To enroll yourself into a benefits program select the corre
33. you move about the activity folder You will then see a variety of tabs with information on you your dependents and your current coverage 5 Paycheck Calculator My Compensation My Accounting Overrides My Benefits My Information My Time and Attendance a Jobs l Personal information Address Emergency Contact Tax Withholdings Allowanc S Select the My Benefits Work Space Jobs co Appt ID Title Sub Title Emp Status Home Dept Home Unit Location From HR OFF I HROFF II F T SALARY PERSONNEL ADMINISTRATION PERSONNEL 01 01 2008 12 31 9999 From 01 01 2008 Employee ID 0000020366 ApptiD Name GIBSON MEL To 12 31 9999 Home Dent PERSONNEL 3 Select the Current Enrollments Select Current Enrollments to see your benefits You may log into ESS any time during the year to see your current benefits your dependents and what coverages they have After you have completed your Open Enrollment you will be able to select Future Enrollments to see your benefits for the upcoming plan year Enrollment Wizard The first page you encounter after a successful log on is the Home page At the bottom left side of this page is a Launch the Enrollment Wizard button This takes you directly into the Benefit Enrollment Wizard Home Contact FAQ Hel PEE pena Logout Smt AMS acvertese ess My Completed Work Downloadable Forms My Work in Progress a Ss z gt
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