Employee Meets

Benefit Eligibility 2.0

Requirements 3.0
Employee
1.0 Employee's
Completes
Enrollment Enrollment
Enrollment
Information is Sent to Information Reviewed
Forms and
Employee by HR/Benefits and
returns to
Entered in HRMS
HR/Benefits

3.1
HR/Benefits Notifies
Payroll and TPA of
Employee's
Enrollment Choices
Step 1.0 Enrollment Information is Sent to Employee

Human Resources/Benefits sends benefit enrollment information to new employee when

eligibility requirements have been met.

Step 2.0 Employee Completes Enrollment Forms and Returns to HR/Benefits

When employee receives enrollment forms, he/she reviews options and choices, makes
selections and enters information on the enrollment form. Forms are returned to HR/Benefits
within required timeframe.

Step 3.0 Employee’s Enrollment Information Reviewed by HR/Benefits and Entered in HRMS

When HR/Benefits receives employee’s enrollment information, a review is made to ensure that
all appropriate information is complete.

Step 3.1 HR/Benefits Notifies Payroll and TPA of Employee’s Enrollment Choices

Payroll is notified in order to begin proper deductions from employee’s paycheck. In

the event that a TPA administers the benefit plan, they must also be notified of new
enrollment information.