2023 Benefits Guide Eligibility and Enrollment (continued) How Do I Enroll in Benefits? Making Benefit Changes You must actively enroll in all benefits that require employee During the Plan Year contributions. You will be automatically enrolled in all Company paid benefits. The benefit elections you make during your To enroll (or make changes) to your benefits, you must log initial enrollment period will be in effect through onto Paycom at https://www.paycomonline.net. Select 2023 12/31/2023. Benefits Enrollment under the Benefits section. If you have a QLE, you may make changes to You may want to have your spouse or partner present while certain benefits if you apply for the change and selecting benefits as your benefit choices impact your whole provide supporting documentation to Human family. Resources within 30 days of the event. Proof of life events is subject to approval by WestCare. Changes are effective retroactive to the date of Please Note: the event. Federal regulations require WestCare to obtain the following information during enrollment: Qualifying life events include: • Social Security numbers for your dependents covered by • Your marriage the medical plan • Your divorce or legal separation • Dates of birth and your relationship to your dependents • Birth, adoption or placement for adoption of an eligible child • Death of your spouse, domestic partner or covered child Termination of Coverage • Change in you or your spouse/domestic If you or a covered dependent no longer meet these eligibility partner’s work status that affects benefits requirements or if your employment ceases, your medical, eligibility (for example, starting a new job, leaving a job, changing from part-time to full- dental, vision, and Health Care FSA coverage will end on the last time, starting or returning from an unpaid day of the month in which you become ineligible. leave of absence, etc.) You may be eligible to elect COBRA for yourself and your • Your spouse’s Open Enrollment eligible dependents for medical, dental, and vision coverage. • A change in your child’s eligibility for benefits • Gain or loss of Medicare or Medicaid during Life and AD&D coverage will end on the day you become the year ineligible. Your life coverages are convertible. • Relocation You are responsible for informing Human Resources within 30 days if any of your dependents become ineligible for benefits. Other qualifying events may also apply. Please contact the Benefits Department at [email protected]. 5 WestCare