WHO IS ELIGIBLE?

IF YOU ARE A FULL-TIME EMPLOYEE (WORKING 30 OR MORE HOURS PER WEEK) YOU ARE ELIGIBLE OT ENROLL IN THE BENEFITS DESCRIBED IN THIS GUIDE.  SPOUSE, DOMESTIC PARNER, AND DEPENDENCTS ARE ELIGIBLE FOR MEDICAL, DENTAL, AND VISION COVERAGE.

HOW TO ENROLL

LOGIN TO: eselfserve.com

USERNAME & PASSWORD ARE WHAT YOU USE TO LOGIN NORMALLY TO THE APP.  IF YOU NEED YOUR USERNAME OR PASSWORD RESET, PLEASE CONTACT HR.

ONCE YOU'VE LOGGED IN, YOU CAN CLICK ON OPEN ENROLLMENT THROUGH THE TO-DO OR TASKS SECTION ON THE RIGHT HAND SIDE OR UNDER THE BENEFITS TAB.  CLICK ON THE GREEN BANNER AND WALK-THROUGH ENROLLMENT STEP-BY-STEP!  BE SURE TO ADD YOUR DEPENDENTS -- THIS WILL ADJUST YOUR BENEFIT OFFERINGS ACCORDINGLY.  FOR EXAMPLE, IF YOU HAVE A SPOUSE IN THE SYSTEM, IT WILL SHOW COVERAGE OPTIONS FOR EMPLOYEE ONLY AND EMPLOYEE + SPOUSE.  CONFIRM YOUR BENEFITS AT THE END TO COMPLETE ENROLLMENT!

WHEN TO ENROLL

THE OPEN ENROLLMENT PERIOD IS WEDNESDAY, NOVEMBER 1, 2023 THROUGH SUNDAY, NOVEMBER 12, 2023.  THE BENEFITS YOU ELECT DURING OPEN ENROLLMENT WILL BE EFFECTIVE FROM JANUARY 1, 2024 TO DECEMBER 31, 2024.  IF YOU DO NOT ENROLL, OR OPT OUT OF COVERAGE, YOU WILL AUTOMATICALLY BE ENROLLED IN EMPLOYEE ONLY COVERAGE ON THE BASIC PLAN.

HOW TO MAKE CHANGES

UNLES YOU HAVE A QUALIFIED CHANGE IN STATUS, YOU CANNOT MAKE CHANGES TO YOUR BENEFIT ELECTIONS UNTIL NEXT YEAR'S OPEN ENROLLMENT PERIOD.  LIFE EVENTS SUCH AS MARRIAGE, DIVORCE, BIRTH OR ADOPTION OF A CHILD, CHANGE IN CHILD'S DEPENDENT STATUS, DEATH OF QUALIFIED DEPENDENT, CHANGE IN EMPLOYMENT STATUS OR CHANGE IN COVERAGE UNDER ANOTHER EMPLOYER-SPONSORED PLAN MAY QUALIFY YOU FOR A SPECIAL ENROLLMENT PERIOD.  PLEASE NOTIFY HR WITHIN 30 DAYS OF YOUR QUALIFYING EVENT.