Page 4 - 2017 US Benefits Highlighter - for Legacy Capgemini employees in the FS SBU
P. 4
What You Need to Know
About Enrollment for 2017
2017 Plan Year Enrollment Is November 4 – 21 If You Do Not Make Enrollment Elections for
Annual Enrollment is your opportunity to choose beneits that will remain in 2017 You Could Lose Some Coverage
efect throughout 2017, unless you experience a qualiied status change. The table below explains the beneit coverage you will have during
Qualiied status changes include marriage, divorce, birth, adoption, reduction 2017 if you have coverage in 2016 but fail to make elections during
in work hours or becoming eligible for Medicare or Medicaid. Outside of the Annual Enrollment period.
Annual Enrollment, any change you make to your beneits must be consistent
with the qualiied status change. Coverage If You Do Not Make an
Benefit Plan Annual Enrollment Election for 2017
Life Events Medical Plan
Recently get married? As a reminder, same-sex and opposite-sex legal Premier Medical Plan
spouses are eligible dependents for Medical, Dental and Vision coverage. It Dental Plan Enhanced Dental PPO
is important to change your partner’s status to spouse once you are
married. This change in status impacts the tax treatment of your health Vision Plan Prior Plan Year Election
beneit costs.
Health Care FSA No Coverage
Report your qualiied life event within 31 days from the date of your
marriage, by calling Human Resources at 1-847-384-6135 . Also, for any Dependent Care FSA No Coverage
other qualiied status change, make sure you contact Human
Resources to report your change. Commuter Benefits No Coverage
Refer to the 2017 Benefits Guide for more information about eligible Critical Illness
dependents. Prior Plan Year Election
Annual Enrollment Choices Effective Accident Coverage Prior Plan Year Election
January 1, 2017 – December 31, 2017 Legal Insurance Prior Plan Year Election
The beneits elections you make during the Annual Enrollment period will
be efective from January 1 through December 31, 2017. Basic Life and Accidental You receive this coverage automatically
Death & Dismemberment
Wait, There’s More! (AD&D) Life Insurance
If you are eligible, you also can enroll in the following beneits at any time: Basic Short and
Additional Life Insurance, Auto and Home Insurance, Legal Insurance Long Term Disability You receive this coverage automatically
Plans and Commuter Beneits. Some of these beneits are subject to
Evidence of Insurability (EOI). For more information about these beneits, Optional Life Insurance Prior Plan Year Election
refer to the 2017 Benefits Guide .
CAPGEMINI 2017 ENROLLMENT HIGHLIGHTS 3
About Enrollment for 2017
2017 Plan Year Enrollment Is November 4 – 21 If You Do Not Make Enrollment Elections for
Annual Enrollment is your opportunity to choose beneits that will remain in 2017 You Could Lose Some Coverage
efect throughout 2017, unless you experience a qualiied status change. The table below explains the beneit coverage you will have during
Qualiied status changes include marriage, divorce, birth, adoption, reduction 2017 if you have coverage in 2016 but fail to make elections during
in work hours or becoming eligible for Medicare or Medicaid. Outside of the Annual Enrollment period.
Annual Enrollment, any change you make to your beneits must be consistent
with the qualiied status change. Coverage If You Do Not Make an
Benefit Plan Annual Enrollment Election for 2017
Life Events Medical Plan
Recently get married? As a reminder, same-sex and opposite-sex legal Premier Medical Plan
spouses are eligible dependents for Medical, Dental and Vision coverage. It Dental Plan Enhanced Dental PPO
is important to change your partner’s status to spouse once you are
married. This change in status impacts the tax treatment of your health Vision Plan Prior Plan Year Election
beneit costs.
Health Care FSA No Coverage
Report your qualiied life event within 31 days from the date of your
marriage, by calling Human Resources at 1-847-384-6135 . Also, for any Dependent Care FSA No Coverage
other qualiied status change, make sure you contact Human
Resources to report your change. Commuter Benefits No Coverage
Refer to the 2017 Benefits Guide for more information about eligible Critical Illness
dependents. Prior Plan Year Election
Annual Enrollment Choices Effective Accident Coverage Prior Plan Year Election
January 1, 2017 – December 31, 2017 Legal Insurance Prior Plan Year Election
The beneits elections you make during the Annual Enrollment period will
be efective from January 1 through December 31, 2017. Basic Life and Accidental You receive this coverage automatically
Death & Dismemberment
Wait, There’s More! (AD&D) Life Insurance
If you are eligible, you also can enroll in the following beneits at any time: Basic Short and
Additional Life Insurance, Auto and Home Insurance, Legal Insurance Long Term Disability You receive this coverage automatically
Plans and Commuter Beneits. Some of these beneits are subject to
Evidence of Insurability (EOI). For more information about these beneits, Optional Life Insurance Prior Plan Year Election
refer to the 2017 Benefits Guide .
CAPGEMINI 2017 ENROLLMENT HIGHLIGHTS 3
