Get Benefits Overview And Enrollment

This guide provides clear and comprehensive instructions on how to effectively complete the Benefits Overview And Enrollment form online. Whether you are enrolling a dependent or adjusting your healthcare flexible spending account, these steps will help you navigate the process with ease.

Follow the steps to complete your enrollment online

1. Press the ‘Get Form’ button to access the Benefits Overview And Enrollment form and open it in your preferred online document editor.
2. In the first section, provide your personal details such as your name, employee ID number, department, and extension. Make sure that all information is accurate and up to date.
3. Move to Section A, where you will choose the medical plan you are currently enrolled in. Options include the Blue Cross Blue Shield PPO plan and the HMO Illinois plan. Select the appropriate option.
4. Enter the details for each dependent you wish to enroll in the medical plan. This includes their name, date of birth, social security number, gender, and relationship to you. Ensure all provided information is complete and correct.
5. If you are opting to adjust your Health Care Flexible Spending Account (HCFSA), go to Section B. Indicate the amount you wish to increase your HCFSA to, remembering that the annual range is between $100 and $5,000.
6. Review the information you have entered thoroughly. Any additional documentation verifying the eligibility of new dependents will need to be attached to the form.
7. Once all sections of the form are accurately filled out, sign and date the document at the bottom to confirm your agreement to the information provided and the terms associated with choosing your benefits.
8. Finally, save your changes to the document. You may choose to download, print, or share the completed Benefits Overview And Enrollment form as needed.

Complete your Benefits Overview And Enrollment form online today to ensure your healthcare needs are met.