Page 3 - 2016 Enrollment
P. 3
Eligibility and Enrollment Online Enrollment
To enroll or decline your
An Eligible Employee is: medical, dental, HSA,
Dependent Care FSA, Life or
An employee scheduled for 30 or more hours per week, or LTD benefits login to ADP
located on:
An employee who gains eligibility by meeting Affordable Care
Act guidelines. Please see HR for more details or to discuss Mission Control or
your eligibility. https://workforcenow.adp.com
An Eligible Dependent is Considered to Be:
Your legal spouse, an individual to whom you are legally
married.
Your “Qualified Domestic Partner”, as defined in Section 14,
Glossary; there is a 12-month waiting period after the date
in which a domestic partnership is terminated before a new
eligible partner can be enrolled*;
Your child, or your spouse’s or domestic partner’s child who
is under age 26, including a natural child, stepchild, a legally
adopted child, a child placed for adoption or a child for whom
you or your Spouse are the legal guardian; or
An unmarried child age 26 or over who is or becomes disabled
and dependent upon you.
To be eligible for coverage under the plan, a dependent must reside
within the United States.
*Please contact Human Resources to complete a domestic partner
certification (here) if you are enrolling a domestic partner.
If you have any questions or need assistance with your online
enrollment, contact Human Resources at pollockj@emmaushomes.org
or 636-534-5240.
For more detailed information, an online benefits enrollment For more detailed
presentation can be viewed on information, an online
Mission Control under Human Resources or visit benefits enrollment
https://www.brainshark.com/LocktonSTL/1617EmmausOverview presentation can be viewed
on Mission Control under
Human Resources
2016 - 17 Benefits
To enroll or decline your
An Eligible Employee is: medical, dental, HSA,
Dependent Care FSA, Life or
An employee scheduled for 30 or more hours per week, or LTD benefits login to ADP
located on:
An employee who gains eligibility by meeting Affordable Care
Act guidelines. Please see HR for more details or to discuss Mission Control or
your eligibility. https://workforcenow.adp.com
An Eligible Dependent is Considered to Be:
Your legal spouse, an individual to whom you are legally
married.
Your “Qualified Domestic Partner”, as defined in Section 14,
Glossary; there is a 12-month waiting period after the date
in which a domestic partnership is terminated before a new
eligible partner can be enrolled*;
Your child, or your spouse’s or domestic partner’s child who
is under age 26, including a natural child, stepchild, a legally
adopted child, a child placed for adoption or a child for whom
you or your Spouse are the legal guardian; or
An unmarried child age 26 or over who is or becomes disabled
and dependent upon you.
To be eligible for coverage under the plan, a dependent must reside
within the United States.
*Please contact Human Resources to complete a domestic partner
certification (here) if you are enrolling a domestic partner.
If you have any questions or need assistance with your online
enrollment, contact Human Resources at pollockj@emmaushomes.org
or 636-534-5240.
For more detailed information, an online benefits enrollment For more detailed
presentation can be viewed on information, an online
Mission Control under Human Resources or visit benefits enrollment
https://www.brainshark.com/LocktonSTL/1617EmmausOverview presentation can be viewed
on Mission Control under
Human Resources
2016 - 17 Benefits
