The Open Enrollment system allows you to view all the dependents that you enrolled the previous year. If you wish to continue coverage for your current dependents, you must enroll your dependents again this year for each type of coverage.

Coverage availability for dependents is restricted to the employee’s selections. At least one type of coverage is required by the employee in order to enroll dependents.

Note: Federal regulations require that Broward County plans have a dependent’s Social Security number on record. Your dependent will not be covered under the plans unless you provide the plan with his or her Social Security number. If your dependent is not a citizen of the United States or is a newborn, enter 9 zeros (000000000) for the social security number.

Follow the steps below to claim no dependents, to enroll existing and/or new dependents, and/or to delete dependents.

To Claim No Dependents

1. Click No Dependents.

2. Click Submit Enrollment.

3. Proceed to Reviewing/Printing Your Benefit Confirmation Statement on the left.

To Enroll Existing Dependents

1. Click View Dependents. The Dependent Coverage screen appears.

2. To enroll a dependent, click the Click Here to Enroll This Dependent link in the row which contains the dependent's information.
    
   The Edit Dependent screen appears.
   
3. Populate the fields in the Benefits Details section:

   • Disabled - Click the drop-down list and select Yes or No.

   • Child age 26 but less than 30 on 01/01/2013? - Click the drop-down list and select the desired option. If you select Student or Financially Dependent, an Affidavit window will appear. After you have read the affidavit, click the Acknowledge button.

   • Other Health Coverage - Click the drop-down list and select Yes or No.

4. Populate the fields in the Enrollment Selections section:

   • Enroll in Health - Click the drop-down list and select Yes or No.

   • Enroll in Dental - Only enabled if you have selected Yes for dental coverage for yourself. Click the drop-down list and select Yes or No.

   • DHMO Facility # - Only enabled if you have selected Yes for dental coverage. Enter the same DHMO Facility # that you entered for yourself, or click the DHMO Dentist List link to view the list of dentists (dental providers), and then type the PCD # associated with the dentist in the DHMO Facility # text box.

   • Enroll in Vision - Click the drop-down list and select Yes or No.

   Note: If you have waived any coverage for yourself, the dependent selections will automatically default to "No" and cannot be changed unless you change your elections.

5. Click Enroll Dependent. The specified dependent is now enrolled for 2013.

6. Repeat Step 2 - 5 to enroll other existing dependents and then proceed to Step 7. If you need to add new dependents proceed to the section below entitled To Add New Dependents.

7. Once you have completed enrolling the existing dependents, click the Next button.

8. Click Submit Enrollment.

9. Proceed to Reviewing/Printing Your Confirmation Statement  on the left if you have completed enrolling existing dependents.

To Add New Dependents

1. Click Add New Dependent. The Add New Dependent screen appears.

   Note: If you have waived any type of coverage for yourself, the dependent selection for that coverage will automatically default to "No" in the Enrollment Selections section and cannot be changed unless you change your elections.

2. Populate the fields in the Personal Details section:

   • SSN - Type the dependent's social security number. If the dependent does not have a social security number, type 000000000.

   • First Name, Middle Initial, and Last Name - Type the dependent's first, middle, and last name.

   • Gender - Click the drop-down list and select Male or Female.

   • Relationship - Click the drop-down list and select your relationship with the dependent.

   • Date of Birth - Type the dependent's date of birth (MM/DD/YYYY).

3. Populate the fields in the Benefits Details section:

   • Disabled - Click the drop-down list and select Yes or No.

   • Child age 26 but less than 30 on 01/01/2013? - Click the drop-down list and select the desired option. If you select Student or Financially Dependent, an Affidavit window will appear. After you have read the affidavit, you will need to click the Acknowledge button.

   • Other Health Coverage - Click the drop-down list and select Yes or No.

4. Populate the fields in Enrollment Selections section:

   • Enroll in Health - Click the drop-down list and select Yes or No.

   • Enroll in Dental - Click the drop-down list and select Yes or No.

   • DHMO Facility # - Only enabled if you have selected Yes for dental coverage. Enter the same DHMO Facility # that you entered for yourself, or click the DHMO Dentist List link to view the list of dentists (dental providers), and then type the PCD # associated with the dentist in the DHMO Facility # field.

   • Enroll in Vision - Click the drop-down list and select Yes or No.

5. Click Submit New Dependent.

6. Click Add New Dependent to add additional dependents or click Next if you are finished.

7. If you clicked Next in Step 6 above, then click Submit Enrollment to complete the enrollment.

8. Proceed to Reviewing/Printing Your Benefit Confirmation Statement on the left if you have completed enrolling existing dependents.

To Delete Dependents

1. If necessary, navigate back to the Employee Information page.

2. Click View Dependents.

3. Click the Delete link in the row which contains the dependent's information and then click OK to confirm deletion.
   
4. Click Next when you are finished.

5. Click Submit Enrollment.

6. Proceed to Reviewing/Printing Your Confirmation Statement on the left if you have completed with deleting your dependents.