Your Name and address will appear in this box.S(qcyjbz45ixqclw55v5wtuziu... · sti Links to Enroll...

5

Transcript of Your Name and address will appear in this box.S(qcyjbz45ixqclw55v5wtuziu... · sti Links to Enroll...

Marianast.surin
Text Box
Your Name and address will appear in this box.
Marianast.surin
Text Box
If you have dependants, their names and other info will appear here.
Marianast.surin
Pencil
Marianast.surin
Text Box
Your Name
Marianast.surin
Text Box
NOTE: Check the options you wish to have for Medical, Dental, Vision, Flex Accounts, Basic Life and Disability insurance.
Marianast.surin
Text Box
Click here to review your selections.
Marianast.surin
Line
Marianast.surin
Text Box
Final review of your selections
Marianast.surin
Line
Marianast.surin
Text Box
Make sure to check the accept terms
Marianast.surin
Line
Marianast.surin
Text Box
Once you have reviewed, click on Confirm Changes
Marianast.surin
Line
Marianast.surin
Pencil
Marianast.surin
Text Box
Once you see this box pop up, the selections were accepted and you print the confirmation.
Marianast.surin
Line
Marianast.surin
Line
Marianast.surin
Typewritten Text
+++++++++++++
Marianast.surin
Typewritten Text
++++++++++++++
Marianast.surin
Pencil