Page 4 - EMSAR 2022 Benefits Guide
P. 4
Enrollment and Eligibility



Benefits Eligibility Benefit Election Changes

Associates and New Hires: You are eligible to You may only make changes to your elections during
participate in the EMSAR beneit program if you open enrollment or if you experience a qualifying
work a minimum average of 30 hours per week. change in status that afects you and/or your eligible
The beneit elections you make as a new hire will dependents.
become efective on the irst day of the month
following your date of hire through December 31, Examples of such changes include:
2022. z Change in marital status or death of a spouse

z Change in number of dependents including
Eligible Dependents: You may also enroll your birth, death or adoption of a dependent; or
eligible dependents in beneits if they are your legal when a dependent reaches an age that makes
spouse or dependent child. Dependent children him or her ineligible for dependent coverage.
are generally eligible for coverage until they reach
age 26. A dependent child includes: z Changes in employment status of you or your
eligible dependents
z Biological children

z Stepchildren If you experience a qualifying change in status, you
must provide appropriate documentation of the
z Adopted children or children in your custody life event to HR and make changes to your beneits
while you are awaiting inalization of their within 30 days of the event. The changes made must
adoption be consistent with the life event that occurred. If you

z Children for whom you have legal guardianship do not change your coverage within 30 days of a
z Non-custodial children as required by a qualifying change in status, you must wait until the

qualiied medical child support order next annual open enrollment period to update your
status. All changes made during the annual open
z Disabled children who depend on you for enrollment are efective on January 1st.
support and maintenance because of mental
or physical handicap, regardless of age, if the Pre-Tax Contributions
disability occurred prior to age 26 and they
have been continuously covered under the plan Any Medical, Dental and Vision contributions you
prior to and beyond reaching age 26. make, for you and/or your tax-qualiied dependents,
will be deducted from your pay on a pre-tax basis
Note: You may be required to provide proof that your dependents
are eligible. and subject to any additional tax provisions as
mandated under the law.















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