Page 3 - 2017-18 Centennial Benefits Guide Staff
P. 3
Domestic Partner Coverage Changing Your

Domestic partners are eligible for the following beneits. Coverage

„ Medical „ Vision „ Critical illness Elections (or waivers) are binding
for the entire plan year unless there
„ Dental „ Accident „ Hospital indemnity is a change in life status, such as

Domestic partners and their dependents are rarely considered dependents the following.
under federal tax code. Premiums deducted for a DP or DP dependents „ Marriage „ Change in
are after tax. Any employer contributions associated with DPs and their employment
dependents are considered a taxable beneit. Imputed income may apply „ Divorce status
if you cover a person who is not considered a dependent under tax code. „ Birth Access to or

„ Adoption „
Designate Your Beneficiary „ Death loss of other
coverage
When enrolling in beneits ensure you designate your beneiciary(ies) in
the appropriate system. Beneiciary information is stored based on the You must notify Human Resources
type of beneit and several steps may be necessary to ensure accurate within 30 days of a qualiied life
beneiciary information is recorded for your beneits. event. If you fail to do so, you will
not be able to make any changes

Beneiciary information is stored by beneit type. until the next open enrollment
period (or future qualiied life
ADP Portal event, if earlier). For more
Mutual of Omaha Basic Life (company paid)
Mutual of Omaha Basic AD&D (company paid) information on how to enter a
Mutual of Omaha Voluntary Life (employee paid) life event in ADP, contact Human
Mutual of Omaha Voluntary AD&D (employee paid) Resources.
Assurity Accident and Critical Illness (employee paid)
Fidelity
401(k) Plan—includes traditional 401(k), Roth and Thrift Plan
Paylex
HSA Account

























Centennial Contractors 3
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