CONSOLIDATED ENROLLMENT FORM

Once you have gone through enrollment for each plan available, the system will take you to the CONSOLIDATED ENROLLMENT FORM page This screen will show you a summary of the information you entered and the benefit elections you made.

➢ If you need to edit an election, simply click “Edit Election” next to the benefit you need to review and follow the steps again.

9 One Last Step

Review the “Benefit Cost Summary” located to the right hand side of the screen to ensure you understand your cost “My Cost” and the district’s costs “ER Cost” that you are signing up for. This will be your monthly payroll deduction minus the amounts selected for your HRA deductions if applicable

To complete the enrollment process: Please Click “Return to Home.”

If you need to log off before completing enrollment, any data you entered will be saved The next time you log on, you will be taken directly to the last saved screen.

Always make sure to log out upon completing any action on the system To logout, select the red circle with your initials in the top right corner and “logout”

The following pages give a more detailed explanation of the benefits being offered to you.