Page 4 - HIMSS 2021 Annual Benefits Enrollment
P. 4
ELIGIBILITY




If you are a regular full-time employee who works at least 30 hours per week, you are eligible for benefits.
Most of your benefits are effective on the first day of the month following your date of hire. You may also
enroll your eligible dependents for coverage. This includes the following:

ƒ Your legal spouse or domestic partner
ƒ Children under the age of 26, regardless of student, dependency or marital status


WHEN COVERAGE ENDS

Coverage in the medical, dental and vision plans ends at 11:59 p.m. on the last day of the month in which
your employment ends. All other plan coverages end at 11:59 p.m. on your last day of employment except as
otherwise indicated in this summary.

QUALIFIED LIFE EVENTS


Generally, you may only change your benefit elections during the Open Enrollment period. However,
since life happens, you also may change your benefit elections during the year if you experience a Qualified
Life Event such as:

ƒ Marriage, divorce or legal separation
ƒ Birth or adoption of a child

ƒ Loss or gain of other coverage by the employee or dependent
ƒ Eligibility for Medicare or Medicaid





CHANGING BENEFITS AFTER ENROLLMENT

You have 30 days from the Qualified Life Event to make changes to your coverage. Depending on
the type of event, you may need to provide proof of the event, such as a marriage license. If you do
not make the changes within 30 days of the qualified event, you will have to wait until the next Open
Enrollment period to make changes (unless you experience another Qualified Life Event).





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