Page 3 - 2015 Intertek USA Enrollment Guide
P. 3
Intertek U.S.A.
Beneits Enrollment
Benefits Enrollment Qualifying Events
It is time for the annual beneits enrollment for the 2015 plan year. Please A qualifying event is a change in your
note you will not be able to make changes to your coverage until the next personal life that may impact your
annual enrollment unless you experience a qualiied change in status. eligibility or dependent’s eligibility for
Annual enrollment will take place from November 3 to November 14, 2014. beneits.
Please read this guide to learn more about your beneits. All elections and Examples of some qualifying events
changes take effect on January 1, 2015. include:
During annual enrollment you have the opportunity to: X Change of legal marital status (i.e.,
marriage, divorce, death of spouse)
X Add, change, or delete coverage X Change in number of dependents
X Add, or drop dependents from coverage (i.e., birth, adoption, death of
Z Any new or previously dropped dependents will be subject to an dependent, ineligibility due to age)
audit in order for coverage to remain in place; you will receive a X Change in employment or job status
letter from our auditors with the appropriate documentation and
deadline to provide It is your responsibility to contact
X Enroll or re-enroll for a new Flexible Spending Accounts (FSA) election the Employee Service center at
1-866-213-8919 within 30 days of the
Z Your current election will not automatically roll-over qualifying life event. Failure to notify
X Open and elect, or continue your participation in our Health Savings the Employee Service Center within 30
Account (HSA) program days will prohibit your ability to change
Z You must elect the CDHP (Consumer Driven Health Plan) to be your beneits election(s).
eligible
Z Your current elections will not automatically roll-over,
a new election is required each year
This year our annual enrollment
opportunity is passive, with the
exception of the FSA and HSA
programs. If you are satisfied with your
current elections, you do not need
to take any further steps during this
enrollment window.
3
Beneits Enrollment
Benefits Enrollment Qualifying Events
It is time for the annual beneits enrollment for the 2015 plan year. Please A qualifying event is a change in your
note you will not be able to make changes to your coverage until the next personal life that may impact your
annual enrollment unless you experience a qualiied change in status. eligibility or dependent’s eligibility for
Annual enrollment will take place from November 3 to November 14, 2014. beneits.
Please read this guide to learn more about your beneits. All elections and Examples of some qualifying events
changes take effect on January 1, 2015. include:
During annual enrollment you have the opportunity to: X Change of legal marital status (i.e.,
marriage, divorce, death of spouse)
X Add, change, or delete coverage X Change in number of dependents
X Add, or drop dependents from coverage (i.e., birth, adoption, death of
Z Any new or previously dropped dependents will be subject to an dependent, ineligibility due to age)
audit in order for coverage to remain in place; you will receive a X Change in employment or job status
letter from our auditors with the appropriate documentation and
deadline to provide It is your responsibility to contact
X Enroll or re-enroll for a new Flexible Spending Accounts (FSA) election the Employee Service center at
1-866-213-8919 within 30 days of the
Z Your current election will not automatically roll-over qualifying life event. Failure to notify
X Open and elect, or continue your participation in our Health Savings the Employee Service Center within 30
Account (HSA) program days will prohibit your ability to change
Z You must elect the CDHP (Consumer Driven Health Plan) to be your beneits election(s).
eligible
Z Your current elections will not automatically roll-over,
a new election is required each year
This year our annual enrollment
opportunity is passive, with the
exception of the FSA and HSA
programs. If you are satisfied with your
current elections, you do not need
to take any further steps during this
enrollment window.
3
