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Employee Benefits
Forms
Benefits forms can be found on the benefits website. Please visit
www.crandallisdbenefits.com to obtain benefits forms.



2009-2010 Benefit Guide
EMPLOYEE GUIDE TO ENROLLING IN BENEFITS WITH THEbenefitsHUBSM
Through THEbenefitsHUBSM, you have access to your benefits information 24 hours a day, 7 days a week, at the click of a computer key.

You can access this information from anywhere that you have access to the Internet… your home, office, Internet cafe or any mobile Internet device.

Step 1: log on!
Go to www.crandallisdbenefits.com

and click on the ONLINE ENROLLMENT LOGIN link. This will take you to your login screen.

Username:
Your username is the first 6 characters of your last name, followed by the first letter of your first name, followed by the last 4 digits of your Social Security Number.

Password:
Your password is your Social Security Number as shown below with no dashes.

Examples:
Renee Wills, 555111111 John Doe 987-65-4321

User name: willsr1111 Password: 555111111 User name: doej4321 Password: 987654321

Web Address: www.crandallisdbenefits.com
Username: willsr1111
Password: 555111111

Step 2: now you can provide your own personal and benefits information! THEbenefitsHUBSM will guide you through the simple enrollment process page by page.

employee usage agreement:
You will see this screen when you log in to the system as an employee. Be sure to take the time to read this section to ensure that you understand the terms of your “electronic signature” within THEbenefitsHUBSM. When you have reviewed and understand this information,click on CONTINUE.

employee data entry sections:

�� Personal Information: Please review current information for accuracy and enter in any new or missing information. All fields listed in BOLD are required. Please enter an email address if you have one – if you ever forget your password, we can email it to you.

�� Dependent Information: Please review current information for accuracy and enter in any new or missing information for each dependent (spouse,child/children). All fields listed in BOLD are required. To edit a dependent’s information, click on the pencil or click on the to delete a dependent. Please make sure to indicate if your child is a full-time student and/or is claimed on your tax return as this could affect their eligibility to be covered on some of the benefit plans.

�� Enrollment in Benefits: Once all of your personal and dependent data is entered, you will have access to enroll online in the benefits for which you are eligible. Each benefit plan type (e.g. medical, dental, life) will appear individually for you to select the particular plan and coverage you want.

VIEW BENEFIT DESCRIPTIONS… To view a benefit description, click on the benefit plan name or on the next to the name of the plan you would like to review. There you will find a plan summary and any available links to additional documentation or websites relevant to this plan.

VIEW PLAN COST… To quickly view a particular benefit Plan’s cost to you, you may click on the circle to the left of the benefit name. Then click on the box next to each eligible family member or choose the coverage level that you are considering. Your cost will automatically show up in the box to the right of the members’ names and will be updated with each member you add or remove from
coverage.

VIEW TOTAL BENEFIT COST… As you select Plans, their cost will be continually added to the “Election Summary” box to the right of the Plan lists.

SELECT YOUR BENEFIT COVERAGE… After you have reviewed the Plan information and the costs of each Plan on each benefit type page:

�� Click on the circle next to the appropriate plan (or next to “I waive enrollment…” at bottom of page if you do not want that type of coverage at all.)

�� Click on the box next to each family member to be covered, if election made.

�� If required under the Plan, enter primary provider information by clicking on the sentence at the bottom of the page. (If you don't know if one is required, click “Save & Continue” and the system will let you know if it’s required.) There may be a link to the directory if available online for that Plan. If so, you will be guided to this link when you go to make your selection.

FORMS… One or more of your Benefit Plans may require a paper form to be submitted with the Insurance Carrier. If this is the case, benefitsCONNECTSM will prompt you to print the necessary forms at the end of your online enrollment session.

Step 3: beneficiary information

�� Beneficiary Information
Choose your beneficiary(ies) for each applicable plan.

Step 4: consolidated enrollment form

�� Consolidated Enrollment Form:
This form will display all of the data from each of the sections listed above, including both your personal and enrollment information. Please review for accuracy. You may make changes to anything that is incorrect by clicking on click here to edit next to that item or, when you are finished with the enrollment process, you will be sent to the Employee Menu where you may make changes. (See Employee Menu section)

** Required Carrier Forms **
If your Plans’ carriers require paper forms, you will be prompted to print the appropriate forms at this point. Please complete the information on the form and sign and submit to your benefits/HR department!

When you have completed your benefit selections, click the finished button, and then you will be automatically routed to the employee menu screen.
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