Page 14 - SIH 2022 Re-Enrollment Guide
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BENEFIT ELIGIBILITY
Regular full-time employees who work 72 hours or
more per pay period are eligible for all employee Your Benefit Options
and employer paid beneit plan options. Regular You and your eligible family members can choose from the
part-time employees who work 40–71 hours per pay following options:
period are eligible for all employee paid beneit plan X Medical, which includes prescription drug coverage—
options, but will pay a higher rate for medical/health company and employee-paid.
insurance. X Dental—employee-paid.
X Vision—employee-paid.
Per diem employees who average 30 hours or more
per week of actual time worked after a 12-month X Basic life and accidental death and dismemberment
(AD&D)—company-paid; this coverage is
look-back period are eligible for medical coverage automatically enrolled.
only. Per diem employees who meet the eligibility X Supplemental employee life and accidental death and
criteria for medical beneits after the 12-month look- dismemberment (AD&D) insurance—employee-paid.
back will be notiied and will have an opportunity X
to participate in a special enrollment period. Per Dependent life insurance—employee-paid.
diem employees are not eligible for any voluntary X Short term disability insurance (STD) ofered after
or supplemental beneits, such as dental, vision, one year of full-time service—company-paid; this
coverage is automatically enrolled.
supplemental life, or Allstate products.
X Long term disability insurance (LTD) ofered after
Afordable Care Act (ACA) regulations require one year of full-time service—company-paid; this
coverage is automatically enrolled.
employers to ofer medical coverage to all
employees who work 30 hours or more per week X Long term disability buy up—an additional 10% of
long term disability coverage—employee-paid.
of actual time worked. This hourly requirement will
be monitored regularly. Therefore, any per diem or X Flexible spending accounts (FSAs)—healthcare FSA or
part-time employees who are scheduled to work 30 dependent care FSA—employee-paid.
hours or less per week but who average 30 hours or X Voluntary plans including Group Critical Illness, Group
more hours per week of actual time worked over the Hospital Indemnity, Group Accident, and Group Term
to Age 100 Life Insurance coverage—employee-paid.
deined measurement period will be ofered medical
coverage at the full-time rate.
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Regular full-time employees who work 72 hours or
more per pay period are eligible for all employee Your Benefit Options
and employer paid beneit plan options. Regular You and your eligible family members can choose from the
part-time employees who work 40–71 hours per pay following options:
period are eligible for all employee paid beneit plan X Medical, which includes prescription drug coverage—
options, but will pay a higher rate for medical/health company and employee-paid.
insurance. X Dental—employee-paid.
X Vision—employee-paid.
Per diem employees who average 30 hours or more
per week of actual time worked after a 12-month X Basic life and accidental death and dismemberment
(AD&D)—company-paid; this coverage is
look-back period are eligible for medical coverage automatically enrolled.
only. Per diem employees who meet the eligibility X Supplemental employee life and accidental death and
criteria for medical beneits after the 12-month look- dismemberment (AD&D) insurance—employee-paid.
back will be notiied and will have an opportunity X
to participate in a special enrollment period. Per Dependent life insurance—employee-paid.
diem employees are not eligible for any voluntary X Short term disability insurance (STD) ofered after
or supplemental beneits, such as dental, vision, one year of full-time service—company-paid; this
coverage is automatically enrolled.
supplemental life, or Allstate products.
X Long term disability insurance (LTD) ofered after
Afordable Care Act (ACA) regulations require one year of full-time service—company-paid; this
coverage is automatically enrolled.
employers to ofer medical coverage to all
employees who work 30 hours or more per week X Long term disability buy up—an additional 10% of
long term disability coverage—employee-paid.
of actual time worked. This hourly requirement will
be monitored regularly. Therefore, any per diem or X Flexible spending accounts (FSAs)—healthcare FSA or
part-time employees who are scheduled to work 30 dependent care FSA—employee-paid.
hours or less per week but who average 30 hours or X Voluntary plans including Group Critical Illness, Group
more hours per week of actual time worked over the Hospital Indemnity, Group Accident, and Group Term
to Age 100 Life Insurance coverage—employee-paid.
deined measurement period will be ofered medical
coverage at the full-time rate.
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