Page 3 - 2020 Benefits Guide Sample
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2020
Benefits Enrollment

YOUR 2020 BENEFITS


At [Company Name], we offer a competitive and comprehensive beneits Benefits Eligibility
program to recognize how important you are to the company. This
beneits guide summarizes our program in a quick and easy-to-understand Covering Yourself
way. Please review your plan documents for more details. You may enroll in the beneits

program if you are a regular full-
New Hire Enrollment time employee who is actively

Welcome to our team! As a new employee, you are eligible for coverage working a minimum of 30 hours
on your [XX] day of employment. You must enroll in beneits within per week.
[XX] days of your date of hire.
Covering Your Family

Annual Enrollment Members
Annual enrollment is your yearly opportunity to review your current Eligible dependents generally
include your legally married
beneits and make changes for the upcoming plan year. During annual spouse and children up to age 26.
enrollment, you can add, change, or decline coverage. You can also add Some age limitations may apply
and/or drop family members for coverage during this time. This year’s to speciic insurance programs.
annual enrollment will take place [Month XX–XX, 20XX]. Children may include natural,

adopted, step-children, or children
Changing Your Benefits Mid-Year obtained through court-appointed

Once you make your elections, you will not be able to make changes until legal guardianship.
next year’s annual enrollment unless you experience a qualifying life event.
Examples of qualifying events include the following. Eligibility Documentation


„ Change of legal marital status (e.g., marriage, divorce, death of Please be prepared to share
spouse, legal separation) dependent eligibility information
during enrollment including
„ Change in number of dependents (e.g., birth, adoption, death of date of birth and Social Security
dependent, ineligibility due to age) Numbers. Other documentation

„ Change in employment or job status may be required depending on

You must make changes to your beneits within [30/31] days of your your elections.
qualifying life event. If you do not make changes during this time, you
may have to wait until next year’s annual enrollment to make your change.

















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