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Enrollment Instructions for Employees Accessing BluesEnroll

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Member Role
The content provided in this presentation is for informational purposes only. For information regarding specific
policy information, including regulations, limitations and exclusions, refer to your contract and/or benefit booklet.
Initial Sign On
Initial Sign On
Initial Sign On
Initial Sign On
My Benefits Welcome Page
My Benefits Page
Medical - Information Page
Medical – Choose your plan
Coverage level
Add Dependents
Dependent Type
Dependent Gender
Dependent Date of Birth
Dependent Summary
All Dependents – Summary Page
PCP Selector
PCP Summary
Medical - Medicare
Medical - Medicare
Medical - Medicare
Medical - Medicare
Medical – Additional Insurance
Medical – Additional Insurance
Medical – Additional Insurance
Medical – Additional Insurance
Medical – Additional Insurance
Medical – Electronic Signature
Medical Benefits Summary
Life
Life
Life
Life
Life
Life
Life
Life
Life
Life
Do not
exceed 100%
Life
Life
Life
Life
Elections Complete
Enrollment Helpful Hints
When and employee is enrolled in Blue Medicare or a dependent plan has been selected,
follow the steps provided below:
пЃ¶ Enroll the employee in the plan selected
пѓј Be sure to remove all dependents from coverage (If applicable)
пЃ¶ Add the Spouse to BluesEnroll as an employee. If there is no Spouse, add the
youngest child as the employee.
 Add all remaining dependents for this contract under this individual’s
coverage.
Billing Helpful Hints
With the addition of the dependent plans, new coverage level codes may be used on your invoice.
These Dependent Division coverage levels will be used for both dependents of BlueMedicare
enrollees and for the optional dependent health plan. Below is the list of the coverage level codes you
may see.
Coverage Levels for Employee and Retiree Divisions:
•01 – Employee or Retiree only
•02 – Employee and Family
•03 – Employee and 1 dependent
•06 – Employee and Child/Children
•07 – Employee and Spouse/Domestic Partner
Coverage Levels for Dependent Divisions:
•17 – Children only
•18 – Spouse only
•19 – Spouse with more than 1 child
•20 – Spouse with 1 child
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