Page 5 - 2017 Enroll Draft
P. 5
2017 Benefits Enrollment
Eligibility



Eligible Employees ALL Dependents

You may enroll in the Intertek Employee Beneits Program if you are Must Have a Valid
a regular full-time employee who is actively working a minimum of 30 SSN on File
hours per week. You must update

your dependents’
Dependent Eligibility SSNs in our ADP
portal every year.
In general, eligible dependents include your spouse, same-sex domestic Beginning this year
partner, and children up to age 26. Children may include natural, and moving forward,
adopted, step-children, children obtained through court-appointed legal employers are required
guardianship, as well as children of same-sex registered domestic partners. to provide names
and Social Security
Numbers to the federal
Enrollment government for each

Once you’ve reviewed your choices and conirmed which beneits best individual enrolled for
medical coverage. This
meet your needs and the needs of your family members, follow the reporting requirement

instructions below to complete your enrollment process. helps the federal
government verify
1. Go to www.portal.adp.com. compliance with the

2. Click on the Beneits tab and then click on the Annual Enrollment Health Care Reform
Individual Mandate. If
link. your dependent is on
3. Have your beneit decisions and all dependent information including a Visa with no SSN,
SSNs available. you may use their ITIN
number in lieu of a
4. Follow the system prompts to elect the beneits you want (check SSN.
Decline Coverage if you do not want a particular beneit).

5. If you want to continue participating in the HSA or FSA program, be
sure to make this election for 2016. Your current election will not roll-
over automatically.

6. Click submit when you are inished. Print your conirmation
statement as proof of your elections for 2016.















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