Page 5 - Guide
P. 5
2017 BENEFITS ENROLLMENT
Eligibility
Please review the deinition of an eligible dependent below and only enroll
those who qualify.
Type of Dependent Eligibility Requirements
Spouse Must be legally married to the employee
Biological Child Under age 26
Adopted/Foster Child Under age 26
Step-Child Under age 26
Child Covered Under Order must be a qualiied medical child
a Qualiied Medical support order (QMCSO)
Child Support Order
(QMCSO)
Must be incapable of self-sustaining
employment because of physical handicap,
mental retardation, mental illness, or mental
health disorder
Handicapped Child Must be dependent on the employee
Age 26 or Older for a majority of inancial support and
maintenance and lives with you for more
than half the year
Must be covered under the Plan before age
26
Premiums
You pay your premiums for medical pre-tax, which is automatically
deducted from your paycheck weekly (52 pay periods).
Obtaining Supplemental Information
To obtain supplemental information regarding the plans available to you,
log on to fkgoil.choosemylo.com. If you need technical assistance please
call 844.806.3516.
MOTOMART 5
Eligibility
Please review the deinition of an eligible dependent below and only enroll
those who qualify.
Type of Dependent Eligibility Requirements
Spouse Must be legally married to the employee
Biological Child Under age 26
Adopted/Foster Child Under age 26
Step-Child Under age 26
Child Covered Under Order must be a qualiied medical child
a Qualiied Medical support order (QMCSO)
Child Support Order
(QMCSO)
Must be incapable of self-sustaining
employment because of physical handicap,
mental retardation, mental illness, or mental
health disorder
Handicapped Child Must be dependent on the employee
Age 26 or Older for a majority of inancial support and
maintenance and lives with you for more
than half the year
Must be covered under the Plan before age
26
Premiums
You pay your premiums for medical pre-tax, which is automatically
deducted from your paycheck weekly (52 pay periods).
Obtaining Supplemental Information
To obtain supplemental information regarding the plans available to you,
log on to fkgoil.choosemylo.com. If you need technical assistance please
call 844.806.3516.
MOTOMART 5
