Employee Self Service - Benefits

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Flexible Spending Accounts (BEFORE)The information displayed onthis screen will depend on theflexible spending account youhave chosen.If you do not want to enroll, click Backto Open Enrollment OptionsCAUTION!!Please make sureyou are enrolling inthe correct flexiblespending accountBefore Open Enrollment ends at 4:00p.m. on October 31, if you elect not toparticipate in this FSA after you haveSUBMITTED your enrollment, clickhere to cancel your enrollmentYou are no longer required tocomplete a Direct Deposit Formnor attach a cancelled checkunless you want your FSA depositsent to a different accountNOTE: If youparticipated in thisflexible spendingaccount during thecurrent year, you areprovided thatamount to assistyou in planning forthis enrollment.16
Flexible Spending Accounts (AFTER)2) Click Makethis Changeto save yourselectionIf you do not want to enroll or tosave your changes, click Backto Open Enrollment Options1) Enter your 2009ANNUAL Amount (must bea value from $100 to$5,000)You are no longer required tocomplete a Direct Deposit Formnor attach a cancelled checkunless you want your FSA depositsent to a different account17
Page 1: Employee Self ServiceBenefits Open
Page 4: How to log onEnter UID and Password
Page 10 and 11: Open Enrollment OptionsAfter you ma
Page 12 and 13: Dental Enrollment (AFTER)3) Click M
Page 14 and 15: Medical Enrollment (BEFORE)The info
Page 18 and 19: Submit Your Enrollments and Print C
Page 20: Please contact Becky Parks, parksrc

Employee Self Service - Benefits

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