Page 4 - Hussmann- OE Guide
P. 4
Annual
Enrollment
General
Beneits Definition of Dependent
Eligibility As a reminder, you can also choose to cover certain dependents under
Hussmann’s health and welfare beneits. Your eligible dependents
include:
X Your legal spouse
X Your same-sex domestic partner (SSDP)
X Eligible children including:
X You, your legal spouse’s, or your SSDP’s biological, adopted (or
placed for adoption) or foster children, or your stepchildren, who
are under the age 26;
General Benefits Eligibility X Any other unmarried child under age 26 who lives with you in
You are eligible for the beneits a parent-child relationship based on IRS guidelines and who
is primarily dependent on you, your legal spouse, or SSDP for
described in this guide based on the support (for more information on the IRS guidelines, go to
following hours worked per week: www.IRS.gov);
X 20 to 29 hours—eligible for Life X Any other child under age 26 which you, your legal spouse, or
and AD&D SSDP are required to cover because of a divorce decree or qualiied
X 30+ hours—eligible for Life, medical child support order (QMCSO); and
AD&D, Medical, Dental, Vision, X A covered child who, as of the date his or her coverage would
Flexible Spending Account, have otherwise ended, is mentally or physically incapable of self-
Disability, and Health Savings support and primarily dependent upon you, your spouse, or your
Account (depending on medical SSDP for inancial support. To continue covering a disabled child
plan selection) because of mental or physical disability beyond the age coverage
Your coverage under most of the would otherwise end, you must provide satisfactory proof of the
plans described in this guide is incapacity and notify Hussmann within 30 days of the date the
effective on your date of hire (your child would otherwise lose coverage because he or she is no longer
irst day of active employment). eligible.
Hussmann will be validating your 2015 dependent(s) eligibility upon
close of Open Enrollment. Documentation will be requested during
the validation period.
4
Enrollment
General
Beneits Definition of Dependent
Eligibility As a reminder, you can also choose to cover certain dependents under
Hussmann’s health and welfare beneits. Your eligible dependents
include:
X Your legal spouse
X Your same-sex domestic partner (SSDP)
X Eligible children including:
X You, your legal spouse’s, or your SSDP’s biological, adopted (or
placed for adoption) or foster children, or your stepchildren, who
are under the age 26;
General Benefits Eligibility X Any other unmarried child under age 26 who lives with you in
You are eligible for the beneits a parent-child relationship based on IRS guidelines and who
is primarily dependent on you, your legal spouse, or SSDP for
described in this guide based on the support (for more information on the IRS guidelines, go to
following hours worked per week: www.IRS.gov);
X 20 to 29 hours—eligible for Life X Any other child under age 26 which you, your legal spouse, or
and AD&D SSDP are required to cover because of a divorce decree or qualiied
X 30+ hours—eligible for Life, medical child support order (QMCSO); and
AD&D, Medical, Dental, Vision, X A covered child who, as of the date his or her coverage would
Flexible Spending Account, have otherwise ended, is mentally or physically incapable of self-
Disability, and Health Savings support and primarily dependent upon you, your spouse, or your
Account (depending on medical SSDP for inancial support. To continue covering a disabled child
plan selection) because of mental or physical disability beyond the age coverage
Your coverage under most of the would otherwise end, you must provide satisfactory proof of the
plans described in this guide is incapacity and notify Hussmann within 30 days of the date the
effective on your date of hire (your child would otherwise lose coverage because he or she is no longer
irst day of active employment). eligible.
Hussmann will be validating your 2015 dependent(s) eligibility upon
close of Open Enrollment. Documentation will be requested during
the validation period.
4
