Employee Self-Service (ESS) Online Health Care …...Employee Self-Service (ESS) Online Health Care Enrollment due to a Qualifying Life Event The following presentation will give you

Employee Self-Service (ESS)Online Health Care Enrollment due to a Qualifying Life Event

The following presentation will give you instructions on completing your online health care elections changes using

the district’s self-service portal.

Benefit Contact Information:Benefits Coordinator: Brandi Wehner

[email protected](907) 452-2000 x11382

Fairbanks North Star Borough School District

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From the School District website, select Staff from the menu bar.

Then select Employee Self Service from the dropdown menu bar.


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This is the ESS home screen. Here you will want to select Log Infrom the menu bar.


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Once logged in, you will want to select Benefitsfrom the menu bar.


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Select Report/View Life Events.


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Select the type of qualifying event and effective date of the event. Then select Submit.


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You will need to submit supporting documentation to HR. Once it is received, HR will approve your life event request and you may make election changes. Please call 452-2000 x11382 or x11311 if you have questions about what is needed as supporting documentation.

Here are the elections you may make:Health Insurance – This is the medical plan you may choose. You may only waive if you are a part-time employee or a full-time employee with other coverage. Full-time employees

are required to submit a waiver form to HR if not electing the School District Health Insurance.Dental Vision and Audio (DVA) – This election may be made alone or with a health insurance plan. You must make an election (you may make an election to waive this coverage).Optional Benefits – The medical and dependent care FSA may be elected with any health insurance or if health insurance is waived. This election may be declined.

The HSA may only be elected with Plan B Health Insurance (may not elect a medical FSA in the same calendar year) This election may be declined.The HRA may only be elected with Plan C Health Insurance. This election may be declined.


Select Make New Election or Decline Benefit for each section

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http://www.k12northstar.org/cms/lib010/AK01901510/Centricity/Domain/1138/Employee%2520Benefits/Health%2520Plan%2520Waiver%2520of%2520Coverage%2520Form.pdf


Here is a snap shot of your health insurance elections.

Please note the tier choice when making your election:

Employee OnlyEmployee + SpouseEmployee +Child(ren)Employee + Family

Also note the employment statusoption for part-time employees

*If you are a grand-fathered employee, you will also see Plan A as an option.

Part Time Plan C – Employee & Spouse

Part Time Plan B – Employee & Children

Select a radio button to make your election

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If electing a choice requiring a dependent, select Add coverage or Add new dependent. Current dependents will show in the drop down box. You must choose or add each dependent you want coverage on.

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Fill in dependent information. SSN is necessary for tax reporting purposes (1095C reporting).

Select OK when complete.

*You will be able to enter additional dependents by selecting Add new dependent from previous screen. 11


Select Continue when finished making an election and adding dependents.

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Select a radio button for your Dental, Vision, and Audio (DVA) coverage. Note tier levelsNote the employment status option for part-time employees

DVA is for those electing Plan A or waiving health insurance. There is a cost associated with this election.

DVA0 is for those electing Plan B or C health insurance coverage. There is no cost associated with this election.

If adding a dependent not added to your health election, select Add new dependent

Part Time DVA0 – Employee & Spouse

If adding a dependent already added to your health election, select Add Coverage and choose the dependent’s name

DVA0 With Plan B or C – Employee & Family

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After making your health insurance and DVA election, choose your optional benefits.

Medical FSA is displayed here

You may elect your pay period amount and annual election amounts here

You may decline this benefit here* You may also decline from the benefits screen

Select Continue when finished

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The Health Savings Account election is displayed here.

You may elect your pay period amount and annual election amounts here

You may decline this benefit here* You may also decline from the benefits screen


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The Health Reimbursement Arrangement (HRA) is shown here. This is an employer only contribution for those electing Plan C. The amount contributed is prorated quarterly based on the date of hire.*Part time employees will receive ½ of the entitlement.

Either select or decline this benefit


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You will only see your pay period election displayed on the benefits screen.We do not have the annual election amount turned on to display as our deductions are taken out in 19 pay periods and the system can only display the deductions for 26 pay periods.

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If you do not see the option to continue, you may have forgotten to make an election . You will not be able to submit your elections until all sections have an election or been declined.

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Once you have reviewed your elections and submit, you will see a confirmation message. You may make changes up to your 30 day deadline or until your elections have been approved by the administrator.

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Documents

Employee Self-Service (ESS) Online Health Care …...Employee Self-Service (ESS) Online Health Care Enrollment due to a Qualifying Life Event The following presentation will give you