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Initial Eligibility
Enrollment Period
Dependents Eligible for Coverage Under the Your initial eligibility enrollment
Medical/Dental/Vision Plans period for coverage under The
1. Your legal spouse Carlstar Group Beneits Program
2. Your (or your spouse’s) child under the age of 26 (without regard to ends 31 days immediately
following your eligibility date. If
residency requirements, inancial support, or student status) which you do not apply for coverage
meets one of the following criteria within your initial eligibility period
A. Your biological child (through the enrollment process),
you may only apply for coverage:
B. Your stepchild During the next annual
C. Your adopted child or a child placed with you for adoption enrollment period
D. A child for whom you are an appointed legal guardian or foster Within 31 days of a qualiied
parent status change as described in
E. Disabled adult child(ren) the next section
3. If you have a change in family status for any of the following reasons,
you may add or drop coverage, or change your existing coverage level Should you have a dependent
eligible for coverage under the
A. Change in your legal marital status medical plan who does not have a
B. Change in the number of your qualiied dependents SSN, you can still enroll them on
the enrollment system.
C. Change in employment status or work schedule of you, your
spouse, or your dependent, ( e.g., change affects eligibility and
participation in group medical coverage for you, your spouse, or
your dependent)
D. Change in your dependent’s eligibility to participate in the plan
due to attainment of age (up to age 26)
To initiate a qualified status change, go to www.portal.adp.com or contact your
Human Resources Department and provide documentation of the change. You must
make all changes within 31 days of the date of the change in status.
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Enrollment Period
Dependents Eligible for Coverage Under the Your initial eligibility enrollment
Medical/Dental/Vision Plans period for coverage under The
1. Your legal spouse Carlstar Group Beneits Program
2. Your (or your spouse’s) child under the age of 26 (without regard to ends 31 days immediately
following your eligibility date. If
residency requirements, inancial support, or student status) which you do not apply for coverage
meets one of the following criteria within your initial eligibility period
A. Your biological child (through the enrollment process),
you may only apply for coverage:
B. Your stepchild During the next annual
C. Your adopted child or a child placed with you for adoption enrollment period
D. A child for whom you are an appointed legal guardian or foster Within 31 days of a qualiied
parent status change as described in
E. Disabled adult child(ren) the next section
3. If you have a change in family status for any of the following reasons,
you may add or drop coverage, or change your existing coverage level Should you have a dependent
eligible for coverage under the
A. Change in your legal marital status medical plan who does not have a
B. Change in the number of your qualiied dependents SSN, you can still enroll them on
the enrollment system.
C. Change in employment status or work schedule of you, your
spouse, or your dependent, ( e.g., change affects eligibility and
participation in group medical coverage for you, your spouse, or
your dependent)
D. Change in your dependent’s eligibility to participate in the plan
due to attainment of age (up to age 26)
To initiate a qualified status change, go to www.portal.adp.com or contact your
Human Resources Department and provide documentation of the change. You must
make all changes within 31 days of the date of the change in status.
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