Enrollment and Eligibility Eligible team members have 30 days from their start date to enroll in bene昀椀ts using the Lawson portal. Bene昀椀ts coverage begins the 昀椀rst day of the month following your start date. You can 昀椀nd a link to Lawson and instructions for how to enroll on the Total Rewards Site. Who is Eligible You are eligible to enroll in UnityPoint Health bene昀椀ts if you are in a bene昀椀ts- eligible status. You are eligible for bene昀椀t coverage if you are: FULL-TIME team member who is PART-TIME team member who is regularly scheduled to work regularly scheduled to work 64 hours or more per pay period. 32-63 hours or more per pay period. (0.8 - 1.0 FTE) (0.4 - 0.79 FTE) Dependents In most cases, you can also cover your eligible dependents. If adding a spouse/ domestic partner or dependent child, UnityPoint Health highly encourages adding their social security number (identi昀椀cation number) into their dependent pro昀椀le. Dependent You may be asked to verify your dependent’s eligibility by providing Veri昀椀cation documentation. If asked to do so, you must submit all documents within 30 days of request or risk having your dependents removed from the elected bene昀椀t. Eligible dependents include: › Spouse/par tner (spouse, civil union partner, domestic partner*, common law spouse) › Y our children under age 26. › Unmarried childr en of any age who are unable to support themselves because of a physical or mental disability.** Working Team members that choose to enroll a working spouse or domestic partner who Spouse is eligible for health insurance coverage through their employer will pay a $75 Surcharge working spouse surcharge. The $75 surcharge only applies to medical coverage and will be added to your per pay period medical premium. * When enrolling a domestic partner, you will be required to verify and acknowledge that they are eligible for the plans you have selected. After you complete your enrollment our HR Shared Services team will reach out within a few business days to advise on the next steps towards verifying your domestic partner. **Applies if not covered by other government programs and meets the eligibility requirements as de昀椀ned by each bene昀椀t plan. | 2 |