Glossary Contacts Logout Your Events      Account Summary       Find a Provider       Information and Tools
Birth Event       Enrollment Summary     Your Doctor          Update Enrollment  Confirm Enrollment     Exit Event   Here is where you can make changes to coverage for dependents listed on your account. To add a new dependent to your account, click Add a New Dependent To change a member's personal information, click on the member's name To add coverage for a member, check the box next to the appropriate benefit under Coverage Elections To remove coverage for a member, remove the check from the box   Enrollment Details   Name Relationship Coverage Elections   Jack Smith Self Medical, 01/15/2007-12/31/2007 Dental, 01/01/2007-12/31/2007 FSA, 01/01/2007-12/31/2007 Disability, 01/01/2007-12/31/2007 Life, 01/01/2007-12/31/2007 Jane Smith Spouse Medical, 01/15/2007-12/31/2007 Dental, 01/01/2007-12/31/2007 Josh Smith Child Medical, 01/15/2007-12/31/2007   Add New Dependent   Coverage Summary    .   Benefit Plan Selection Level of Coverage Weekly Bi-Weekly Semi-Monthly Monthly Annual Your Cost   Medical HRA Choice Fund Family $160.76 Dental PPO Standard Dental Plan Employee + One $20.00 FSA Health Care Reimbursement Account $2,400 $200.00 Dependent Care Reimbursement Account $3,600 $300.00 Disability Short Term Disability $30,000 $2.17 Long Term Disability $18,000 $1.03 Life Basic Life Insurance 1X Salary $0.00 Supplemental Life Insurance 2X Salary $.89 Spouse - Dependent Life Insurance $50,000 $1.11   Your Total Cost     $160.76     Legal Disclaimer,  Privacy Policy, (06/10/2006) Copyright© 2000-2006 Choicelinx Corporation. All rights reserved.