Daughters of Charity Health Systems Benefits Enrollment Guide. 4. ENROLL in your DCHS Benefits 5. CONTACT your Benefit Carriers
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1 Daughters of Charity Health Systems Benefits Enrollment Guide WELCOME! This Benefits Enrollment Guide will provide you with access to your personal Benefits account and help you enroll in your Daughters of Charity Health System (DCHS) benefits. Here are the five easy steps you need to take to successfully enroll in DCHS s benefits plans: 1. GATHER your personal data and documents 2. LOG ON to 3. CONSIDER your benefits and coverage options 4. ENROLL in your DCHS Benefits 5. CONTACT your Benefit Carriers 1. GATHER your personal data and documents 2. LOG ON to Before you get started, gather the information or copies of the documents listed below for you and any dependent you will add to the DCHS benefits plans. Your Social Security Number (SSN) If you are a new hire, or newly benefits eligible, your DCHS Enrollment Letter with your enrollment deadline. (for reference) If you are adding dependents to your medical, dental and/or vision plans, you will need their SSNs. In addition, a copy of one of the following dependent verification documents must be turned in to your HR Department before your enrollment deadline. Most recently filed tax return showing the dependent as your IRS tax dependent The dependent s birth or adoption certificate Marriage license/certificate Domestic Partner Registry Certificate from the California Secretary of State Qualified Medical Child Support Order (QMCSO) Legal guardianship document approved by or filed with the court If your dependent(s) does not have an issued SSN please talk to the HR representative for further assistance before your enrollment deadline. Ready, Set, Start your Online Enrollment Use any computer with Internet access, go to On the login page, select Create (if you are logging in for the first time) or Reset Your Password (if you have forgotten your password). On the following page, provide: - SSN - Birth date - ZIP code Enter a new password. (Requirements for creating/changing a password are located on the log-in page) Verify your new password by entering it again. Click SUBMIT. Follow the prompts. DCHS Benefits Enrollment Guide 1
2 3. CONSIDER your benefits and coverage options Select BENEFIT RESOURCES & FORMS from the main menu of mydchsbenefits. The BENEFITS RESOURCES & FORMS link will give you access to your Benefit Summaries and Benefit Forms. Waive Coverage: If you are covered by another source, you can decide to waive DCHS benefits by selecting Waive Coverage. 4. ENROLL in your DCHS Benefits A. Review Your Personal Information Certain DCHS facilities provide Benefit Cash Back dollars if a benefit has been waived. Default Coverage: If you do not enroll in DCHS benefits or do not opt to waive coverage by the date listed in your Enrollment Letter, you will automatically be covered under the Default Plan(s). The Default Plan(s) may not provide the level of coverage that you or your family need or want. You will be responsible for the costs associated with the Default Plan(s) and wellness requirement, if any, until you have a QLE or the next Open Enrollment. More information about the Default Plan(s) can be found in the Benefit Summaries on mydchsbenefits. When you click CONTINUE on the main menu, you will link to the Personal Information page. Review the information on the screen. If you see any errors, please contact your local Human Resources Department to correct the information. You may continue enrolling at this time. Click CONTINUE to go to the Dependent Summary page. B. Add Your Dependent Information A note about Qualifying Life Event (QLE) A QLE is an event that allows you to make benefit election changes outside of the annual Open Enrollment. Examples of a QLE are marriage, divorce, the birth or adoption of a child, or the loss of other coverage, (e.g. through a spouse s plan). If you experience a mid-year QLE, and you plan on adding/dropping a dependent from your DCHS plans, you must complete your enrollment and provide proof of your event within 31 days of the QLE. Should a mid-year QLE affect your dependent s coverage, you have 31 days from the date of the event to make your benefit changes on-line and provide your local Human Resources or the DCHS Benefit Services Team with dependent eligibility documentation. If you do not enroll your dependent and provide dependent eligibility documentation within 31 days of the date of the QLE, that dependent will be deenrolled from benefits coverage. You may elect medical, dental and/or vision coverage for your eligible dependent(s). Select ADD DEPENDENT, then enter your dependent s information and select the coverage needed for that dependent by checking the box. Click SUBMIT. Repeat this process to add more than one dependent. DCHS Benefits Enrollment Guide DCHS Benefit Services Team (888) or DCHSBenefits@dochs.org 2
3 4. ENROLL in your DCHS Benefits, continued Remember, you must submit dependent eligibility documentation to your local Human Resources Department or the DCHS Benefit Services Team by your enrollment deadline or your newly added dependent(s) will be de-enrolled from benefits coverage. When you have finished updating the information on this page, select SAVE AND CONTINUE. The Adding It Up box automatically calculates your paycheck deductions based on the cost of the benefit plan options you elect. D. Add/change your Beneficiary Information C. Make Your Benefit Elections DCHS provides all benefitted associates with basic life benefits. It is important that you name a beneficiary/beneficiaries for Associate Life Insurance and Accidental Death and Dismemberment (AD&D). First, review your Plan Options. Click on the circle next to the plan you want to choose. For MEDICAL Plan options, the HMO and POS plans require you to select a Primary Care Physician (PCP/IPA) to complete your enrollment. To do so, CLICK on PCP Destination at the bottom of the screen. Then CLICK on Blue Shield of California. Do a Provider Search to help you find a PCP/IPA. Record the PCP & IPA numbers to add to your online enrollment page. If you do not select a PCP for the HMO or POS plans, Blue Shield will automatically assign you one based on your zip code. NOTE: Flexible Spending Account (FSA) options let you set aside pre-tax dollars to pay for eligible expenses for you and your dependents. You elect the amounts annually, and funds do not roll over from year to year. This is a Use it or Lose it plan. Follow the system prompts for each of your benefit plan options. Be sure to click SAVE AND CONTINUE at the bottom of the screen when you have finished choosing your plans. To add or change select ADD BENEFICIARY and enter all of the requested information in the data fields. (Note: Name and relationship are the only required fields, but the more information you supply, the easier it will be to contact your beneficiary in the event of a benefit payment.) When you are finished entering a beneficiary, be sure to click SAVE. Repeat the process if adding more than one beneficiary to the system. To elect or change the benefit percentage you want to assign to each beneficiary, click EDIT ALLOCATIONS. When you are finished entering an allocation, be sure to click SAVE. Click SAVE AND CONTINUE. (NOTE: You can make beneficiary changes or updates at any time during the calendar year.) IMPORTANT: You may elect a level of Life Insurance or Voluntary Short-Term Disability (VSTD) coverage that might require you to complete the Evidence of Insurability (EOI) Form. The system will have an * next to any/ all life and VSTD options that require EOI. You can access the form from BENEFIT RESOURCES & FORMS on the main menu of mydchsbenefits. DCHS Benefits Enrollment Guide 3
4 4. ENROLL in your DCHS Benefits, continued E. View your Benefit Election Summary F. Quick Survey and Finish Help us Help You Click CONTINUE on the Benefit Summary page to provide feedback about your enrollment experience using When you are finished, be sure to click CONTINUE to return to the main menu. Select LOGOUT on the main menu to complete your online benefits enrollment session. CONGRATULATIONS! You ve successfully completed your DCHS on-line benefits enrollment. Once you have completed the benefits enrollment process, it is important that you review your Benefit Election Summary to be sure all of your elections have been submitted to the system accurately. If you need to make any changes to your elections, just click on the benefit you want to change and then make your edits. For new hires or associates who are newly eligible for benefits, you have until your enrollment deadline date (shown on your Newly Benefits Eligible/New Hire Enrollment Letter) to make changes. Print your Benefit Election Summary for your records by clicking on your browser s print icon. Once the benefits election period is over, DCHS will mail a Confirmation Statement of your health and welfare benefits enrollment to your address on file. Your completed enrollment is the same as your signature. All of the benefit choices you make online are considered valid and legal. DCHS Benefits Enrollment Guide DCHS Benefit Services Team (888) or DCHSBenefits@dochs.org 4
5 5. CONTACT your Benefit Carriers If you have questions about your Benefit options, how to enroll, or if you have trouble accessing any of the following websites, contact your local Human Resources Department or DCHS Benefit Services Team at (888) or by at For further support, please access the following resources. Benefits Enrollment DCHS Blue Shield Wellness Assessment Medical Plans Blue Shield of California Blue Shield of California (888) (888) Mail Order Rx Prim (866) Dental Delta Dental (888) Cigna Dental (800) Vision VSP (800) Employee Assistance Program OptumHealth (access code: DCHS) Flexible Spending Accounts (Health Care and Dependent Care) 24/7 (866) WageWorks (877) Life Insurance UNUM (800) Accidental Death & Dismemberment UNUM (800) Voluntary Short-Term Disability The Hartford (866) Long-Term Disability The Hartford (866) Long-Term Care UNUM (800) Leave of Absence The Hartford (866) IMPORTANT NOTICE All information you provide when you enroll must be true and accurate. Any information that is omitted or misrepresented may result in the denial or termination of benefits coverage for you and your eligible dependents or additional disciplinary action (including termination of your employment). You may also be required to reimburse DCHS for the costs of coverage and benefits received by any ineligible individual. DCHS WELLNESS ACTIVITIES Your health is important to DCHS. DCHS provides support on your Path to Wellness so you can take care of yourself body, mind and spirit. Part of that support is offering Wellness Activities to help associates become more aware of their health and health risk factors. There are several resources to help you find out more about the Wellness Activities: n at your facility or the DCHS Benefit Services Team, n in your Wellness Activities Quick Start Guide on or n on the Blue Shield website BE WELL. WORK WELL. LIVE WELL. BODY, MIND & SPIRIT DCHS Benefits Enrollment Guide DCHS Benefit Services Team (888) or DCHSBenefits@dochs.org 5
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