Page 3 - The Polyclinic New Hire Guide
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Eligibility and Enrollment
Eligibility and Enrollment Qualifying Events
Costs and participation in our beneits program depend on your A qualifying event is a change in your
employment status and hours worked. Many beneits are fully paid for personal life that may impact your
by The Polyclinic at no cost to you. Depending on your eligibility to eligibility or dependent’s eligibility for
participate, and your coverage choices, you may pay a small share of the beneits. Examples of some qualifying
cost for other beneits. events include the following.
Change of legal marital status (i.e.,
Coverage for the health and welfare plans begins the irst day of the marriage, divorce, death of spouse,
month coinciding with, or next following, the date you become eligible. legal separation)
Eligible employees can begin participation in the 401(k) Proit Sharing Change in number of dependents
Plan after three months of service. (i.e., birth, adoption, death of
dependent, ineligibility due to age)
Enrollment Steps Change in employment or job
As a new employee at The Polyclinic, it is important that you review the status
beneit options available to you as this is your irst opportunity to elect It is your responsibility to notify the
coverage. Once elections are made, they will remain active until the Beneits Department within 30 days of
Annual Open Enrollment (traditionally held in November each year) the qualifying life event. Failure to notify
or until you experience a qualifying life event. When you are ready to the Beneits Department within 30 days
will prohibit your ability to change your
enroll, follow the steps below. beneits election(s).
1. Visit https://enroll.beneitsconnect.net/polyclinic.
2. Enter your username and password.
A. Your username is up to the irst six letters of your last name, irst letter of
your irst name, and the last four digits of your Social Security number.
B. Your password is your full (nine-digit) Social Security number without dashes.
3. The online enrollment site will assist you through the enrollment process.
A. Be sure to have your dependent information available during enrollment
(SSNs, birthdates, etc.).
4. Once you’ve completed the online enrollment process, be sure to print your
elections for your personal records.
If you have questions while going through the enrollment site or trouble logging in,
please contact the Lockton Marketplace help desk at 844.403.4941 (open 5:00 a.m. to
7:00 p.m. PST).
If you waive beneits at this time the next opportunity will be at open enrollment.
3
Eligibility and Enrollment Qualifying Events
Costs and participation in our beneits program depend on your A qualifying event is a change in your
employment status and hours worked. Many beneits are fully paid for personal life that may impact your
by The Polyclinic at no cost to you. Depending on your eligibility to eligibility or dependent’s eligibility for
participate, and your coverage choices, you may pay a small share of the beneits. Examples of some qualifying
cost for other beneits. events include the following.
Change of legal marital status (i.e.,
Coverage for the health and welfare plans begins the irst day of the marriage, divorce, death of spouse,
month coinciding with, or next following, the date you become eligible. legal separation)
Eligible employees can begin participation in the 401(k) Proit Sharing Change in number of dependents
Plan after three months of service. (i.e., birth, adoption, death of
dependent, ineligibility due to age)
Enrollment Steps Change in employment or job
As a new employee at The Polyclinic, it is important that you review the status
beneit options available to you as this is your irst opportunity to elect It is your responsibility to notify the
coverage. Once elections are made, they will remain active until the Beneits Department within 30 days of
Annual Open Enrollment (traditionally held in November each year) the qualifying life event. Failure to notify
or until you experience a qualifying life event. When you are ready to the Beneits Department within 30 days
will prohibit your ability to change your
enroll, follow the steps below. beneits election(s).
1. Visit https://enroll.beneitsconnect.net/polyclinic.
2. Enter your username and password.
A. Your username is up to the irst six letters of your last name, irst letter of
your irst name, and the last four digits of your Social Security number.
B. Your password is your full (nine-digit) Social Security number without dashes.
3. The online enrollment site will assist you through the enrollment process.
A. Be sure to have your dependent information available during enrollment
(SSNs, birthdates, etc.).
4. Once you’ve completed the online enrollment process, be sure to print your
elections for your personal records.
If you have questions while going through the enrollment site or trouble logging in,
please contact the Lockton Marketplace help desk at 844.403.4941 (open 5:00 a.m. to
7:00 p.m. PST).
If you waive beneits at this time the next opportunity will be at open enrollment.
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