ELIGIBILITY Offering a comprehensive and competitive benefits package is one way we recognize your contribution to the success of the organization and our role in helping you and your family to be healthy, feel secure and maintain work/life balance. This enrollment guide has been designed to provide you with information about the benefit choices available to you. Remember, if you are a new hire, this is your only opportunity to enroll in coverage until open enrollment, unless you or your family members experience an eligible “change in status.” How to Enroll in the Plans • Read available materials and make sure you understand all the options available. • Complete your enrollment in the Employee Portal (www.workforcenow.adp.com). • Submit your benefits elections within 30 days of your date of hire. • If you have any questions or concerns, please contact your People & Culture Department. Whom Can You Add to Your Plan? Eligible: • Legally married spouse • Natural or adopted children up to age 26, regardless of student and marital status • Children under your legal guardianship • Stepchildren • Children under a qualified medical child support order • Disabled children 19 years or older • Children placed in your physical custody for adoption • Domestic Partners Ineligible: • Divorced or legally separated spouse** • Common law spouse, even if recognized by your state • Domestic partners, unless your employer states otherwise • Foster children • Sisters, brothers, parents or in-laws, grandchildren, etc. Change in Status Generally, you may enroll in the plan, or make changes to your benefits, when you are first eligible. However, you can make changes/enroll during the plan year if you experience a change in status. As with a new enrollee, you must submit your paperwork within 30 days of the change, or you will be considered a late enrollee. Examples of Change in Status: • You get married, divorced or legally separated • You have a baby or adopt a child • You or your spouse takes an unpaid leave of absence • You or your spouse has a change in employment status • Your spouse dies • You become eligible for or lose Medicaid coverage • Significant increase or decrease in plan benefits or cost ** unless stated in divorce decree
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