The Benefits Selections section allows you to select your Health, Dental, and/or Vision coverage. This section also allows you to waive any type of coverage or all coverages. Pharmacy coverage is included in the health coverage.

To Waive Coverage for All Elections

1. Health Coverage - Click the drop-down list and select DO NOT WANT.

2. Dental Coverage - Click the drop-down list  and select DO NOT WANT.

3. Vision Coverage - Click the drop-down list and select DO NOT WANT.

4. Are you covered by other Health Insurance? - Click the drop-down list and select Yes or No.

5. Did you receive the ABC Booklet? - Click the drop-down list and select Yes or No.

6. Click No Dependents.

7. Click Submit Enrollment.

8. Proceed to Reviewing/Printing Your Confirmation Statement on the left to review and/or print your enrollment summary.

To Select Health, Dental, and/or Vision Coverage

1. Click the Health Coverage drop-down list and select the desired plan or select DO NOT WANT to waive health coverage.

2. If you selected DO NOT WANT to waive health coverage, proceed to Step 4 to select your Dental coverage, otherwise, proceed to Step 3 to continue with your health coverage selections.

3. If you select an option other than DO NOT WANT, the 2013 Tobacco Affidavit window appears. The affidavit asks whether you, or any of your dependents (age 18+) insured under the County health program currently use, or have used, tobacco products within the last one hundred twenty (120) days.
   
   If the answer is Yes, effective with the 1st paycheck on January 11, 2013, a $20 bi-weekly Tobacco Surcharge will apply and will be shown on your pay stub as TOBACCO SURCHG.
   
   If the answer is No, it then becomes the employee’s responsibility to notify the County’s Benefits Office within 31 days if you, or any insured dependents (age 18+), resume and/or begin using tobacco products. As a result, a $20 bi-weekly Tobacco Surcharge will be added to the employee's payroll deductions. This affidavit does not roll over year to year and the employee will be required to submit a new affidavit each year as part of the County’s annual Open Enrollment.
   
   Click the appropriate check box in the 2013 Tobacco Affidavit window and then click OK.

4. Click the Dental Coverage drop-down list and select your desired dental plan or select DO NOT WANT to waive dental coverage.

5. If you selected DO NOT WANT to waive dental coverage, proceed to Step 9 to select your vision coverage, otherwise, proceed to Step 6 to continue with your dental coverage selection.

6. If you selected COMPBEN-DHMO in Step 4 above, the DHMO Facility # field, the DHMO Dentist List link, and the Compbenefits link will appear.

7. Click the DHMO Dentist List or the Compbenefits link to view the list of dentists (dental providers).

8. Each dentist has a PCD #. Type the PCD # associated with the dentist in the DHMO Facility # field. The default PCD # is 000000. If you do not wish to select a dentist at this time, simply type 000000 and a dental provider will be assigned to you by the dental insurance. 
   
9. Click the Vision Coverage drop-down list and select VISION or select DO NOT WANT to waive vision coverage.

10. Click the Are you covered by other Health Insurance? drop-down list and select Yes or No.

11. Leave the Tobacco Use Surcharge and the ABC Booklet fields as is.