Page 5 - Guide
P. 5
2017 BENEFITS ENROLLMENT
Eligibility
Please review the deinition of an eligible dependent below and only enroll
those who qualify.
Type of Dependent Eligibility Requirements
Spouse Must be legally married to the employee
Biological child Under age 26
Adopted/foster child Under age 26
Stepchild Under age 26
Child covered under Order must be a qualiied medical child
a Qualiied Medical support order (QMCSO)
Child Support Order
(QMCSO)
Must be incapable of self-sustaining
employment because of physical
handicap, mental retardation, mental
illness, or mental health disorder
Disabled child age 26 Must be dependent on the employee
or older for a majority of inancial support and
maintenance and lives with you for more
than half the year
Must be covered under the plan before
age 26
Premiums
You pay your premiums for medical, dental, and vision beneits pre-
tax, which is automatically deducted from your paycheck weekly (52 pay
periods).
Obtaining Supplemental Information
To obtain supplemental information regarding the plans available to you,
log on to fkgoil.choosemylo.com. If you need technical assistance please
call 844.806.3516.
MOTOMART 5
Eligibility
Please review the deinition of an eligible dependent below and only enroll
those who qualify.
Type of Dependent Eligibility Requirements
Spouse Must be legally married to the employee
Biological child Under age 26
Adopted/foster child Under age 26
Stepchild Under age 26
Child covered under Order must be a qualiied medical child
a Qualiied Medical support order (QMCSO)
Child Support Order
(QMCSO)
Must be incapable of self-sustaining
employment because of physical
handicap, mental retardation, mental
illness, or mental health disorder
Disabled child age 26 Must be dependent on the employee
or older for a majority of inancial support and
maintenance and lives with you for more
than half the year
Must be covered under the plan before
age 26
Premiums
You pay your premiums for medical, dental, and vision beneits pre-
tax, which is automatically deducted from your paycheck weekly (52 pay
periods).
Obtaining Supplemental Information
To obtain supplemental information regarding the plans available to you,
log on to fkgoil.choosemylo.com. If you need technical assistance please
call 844.806.3516.
MOTOMART 5
