Page View

The final page employees see during their enrollment walkthrough is the Consolidated Enrollment Form. Depending on whether the employee is a new or current hire, they may see a different view of this page. 

• New Hires walking through their benefits during their Open Enrollment period will be presented this page after their New Hire enrollment walkthrough. Below, the orange exclamation point is a clue to continue with their enrollment as the process is not yet completed. To continue, employees must scroll down and hit Continue to agree with the information listed on the page and to reach their Open Enrollment walkthrough. Please remember the New Hire has not yet signed up for Open Enrollment benefits until they have completed their second walkthrough.
• Employees will be presented with this version of the Consolidated Enrollment Form page once they have completed all available enrollments. Once the employee sees this Congratulations message, the employee will be marked as Completed. However, if they walk through their benefits again, they will be reset to Incomplete until they arrive back at this page.
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Consolidated Enrollment Form

In the Consolidated Enrollment Form, employees can view their:

• Personal information
• Elections
• Benefits Waived 

Customization

This form can be customized upon your request, and can also include:

• Dependent Information
• Employee Payroll ID
• Emergency Contact Information
• Beneficiary Information

Contact your Account Representative or Implementer if you would like your company’s Consolidated Enrollment Form updated to include any of this additional information.

Note that the example below reflects some of the additional customizable fields mentioned above.

From this page, employees can either print this page, go to the main menu, or go back through their enrollment walkthrough. Due to HIPAA, it is not possible to email this information to employees, but they can email themselves a link to log back into THEbenefitsHUB where they can easily view their elections again.