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General Benefits Eligibility 2016–17 Beneits Enrollment



As an ATS employee, you are eligible for beneits described within this guide based
on the following average hours worked per week. Changing Your

20–29 Hours Coverage
X Employee assistance program X Voluntary accident Once you make your election

X Voluntary short term disability X Voluntary hospital coninement for enrollment you will not be


X Voluntary life and accidental death & X Identity theft protection able to change your elections
dismemberment X 401(k) until the next annual enrollment,
unless you experience a
30+ Hours qualifying event. A qualifying

X UHC Traditional medical plan X Voluntary accident event is a change in your
X MEC Advantage Plan X Voluntary hospital coninement personal life which may impact
your eligibility or dependent’s
X Employee assistance program X Identity theft protection eligibility for beneits.

X Voluntary short term disability X 401(k)
X Voluntary life and accidental death & Examples of some qualifying
events include the following.
dismemberment
X Change of legal marital
40+ hours status (e.g., marriage,
X UHC Traditional medical plan X Basic life and accidental death & divorce, death of spouse,

X MEC Advantage Plan dismemberment legal separation)

X Dental X Voluntary life and accidental death & X Change in number of
X Flexible spending account dismemberment dependents (e.g., birth,
adoption, death of
X Voluntary short term disability X Voluntary accident dependent, ineligibility due

X Long term disability X Voluntary hospital coninement to age)

X Employee assistance program X Identity theft protection X Change in employment or
X 401(k) job status

Your coverage, under most of the plans described within this guide, is effective on X Change in domestic

the irst of the month following 60 days of continuous active service. partnership status


Dependents

In general, if you are enrolled in beneits then eligible dependents may also be
enrolled. Eligible dependents include your legally married spouse, qualiied domestic
partner, and children up to age 26. Children may include natural, adopted, step-
children, as well as children obtained through court-appointed legal guardianship.
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