New Hire/Newly Eligible Benefits Enrollment (pdf)

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Current Marital Status: 3. Use the drop-down menu to select your current marital status Administrative Applications Self Service/eBenefits/New Hire/Newly Eligible Benefits Enrollment Business Process Guide Page: 6
How do I enroll in a Medical plan? The New Enrollment page displays. 1. Follow steps 1 and 2 in the Navigate to New Enrollment section Note: The Medical Plan Selection defaults with the New Enrollment radio button selected. 2. Use the drop-down menu to select the Medical Plan you wish to enroll in 3. Information: Click the Medical Benefits hyperlink to get more information about the medical plans and the providers Notes: If you select Blue Shield plan, the Primary Care Provide field is required. Steps on how to enroll your eligible dependents in your medical plan are provided on page 11. 4. After selecting all changes, skip to the Complete New Enrollment Elections section (on page 14) to complete the process Administrative Applications Self Service/eBenefits/New Hire/Newly Eligible Benefits Enrollment Business Process Guide Page: 7
Page 1 and 2: CMS Project Team — Business Proce
Page 3 and 4: Login to MyCSUEB The MyCSUEB homepa
Page 5: The New Enrollment page displays. N
Page 9 and 10: How do I enroll in a Dental plan? T
Page 11 and 12: How do I enroll in a Flex Spending
Page 13 and 14: Note: In this example, we have adde
Page 15 and 16: Complete New Enrollment Elections T
Page 17 and 18: Disclosures and Privacy Notice The

New Hire/Newly Eligible Benefits Enrollment (pdf)

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