The grid will display your name and your dependents. On this screen you will need to check the boxes for the coverage you would like for yourself and your dependents.
If you wish to waive coverage do not check any of the boxes for the specific benefit you wish to waive. For example, if you are waiving the Vision plan do not check any of the boxes in the Vision column for your dependents.
NOTE: The check boxes for yourself will be checked and grayed out, and you cannot uncheck these boxes. This is a default setting and you will still be able to waive coverage.