Page 2 - 2016 Enrollment
P. 2
Table of Contents
Eligibility and Enrollment . . . . . . . . . . . . . . . . 3 Dental Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Medical Benefits. . . . . . . . . . . . . . . . . . . . . . . . . 4 Life and AD&D . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Out-of-Pocket Medical Expenses . . . . . . . . . . .5 Additional Benefits . . . . . . . . . . . . . . . . . . . . . 11
Medical Plan Cost Example . . . . . . . . . . . . . . . . 6 Vacation & Retirement . . . . . . . . . . . . . . . . . . 12
Health and Wellness . . . . . . . . . . . . . . . . . . . . .7 Insurance Terms 101 . . . . . . . . . . . . . . . . . . . 13
Health Savings Account (HSA) . . . . . . . . . . . . 8 Contact Information . . . . . . . . . . . . . . . . . . . . 14
Benefits —Action Required
Dependent Audit This guide contains a summary of each benefit offered.
Please read thoroughly and take note of the contributions
Please note Emmaus will and the process for enrolling.
require you to sign a dependent
affidavit (here), confirming that
your dependents (including If you are eligible for benefits, you must login to the ADP
spouses, domestic partners, WorkForce Now located on Mission Control or https://
and children) meet the workforcenow.adp.com to enroll or decline coverage. This
eligibility requirements under is the same portal you use to view your pay statement.
the plan. Once you login it is recommended to choose "Walk Me
Through the Process" to continue with enrollment.
Eligibility and Enrollment . . . . . . . . . . . . . . . . 3 Dental Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Medical Benefits. . . . . . . . . . . . . . . . . . . . . . . . . 4 Life and AD&D . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Out-of-Pocket Medical Expenses . . . . . . . . . . .5 Additional Benefits . . . . . . . . . . . . . . . . . . . . . 11
Medical Plan Cost Example . . . . . . . . . . . . . . . . 6 Vacation & Retirement . . . . . . . . . . . . . . . . . . 12
Health and Wellness . . . . . . . . . . . . . . . . . . . . .7 Insurance Terms 101 . . . . . . . . . . . . . . . . . . . 13
Health Savings Account (HSA) . . . . . . . . . . . . 8 Contact Information . . . . . . . . . . . . . . . . . . . . 14
Benefits —Action Required
Dependent Audit This guide contains a summary of each benefit offered.
Please read thoroughly and take note of the contributions
Please note Emmaus will and the process for enrolling.
require you to sign a dependent
affidavit (here), confirming that
your dependents (including If you are eligible for benefits, you must login to the ADP
spouses, domestic partners, WorkForce Now located on Mission Control or https://
and children) meet the workforcenow.adp.com to enroll or decline coverage. This
eligibility requirements under is the same portal you use to view your pay statement.
the plan. Once you login it is recommended to choose "Walk Me
Through the Process" to continue with enrollment.
