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Electric Power Systems
Eligibility and Enrollment Qualified Life Events
Generally, you may change your beneit
As an EPS employee, you are eligible for medical beneits if you elections only during the annual
work at least 30 hours per week. To be eligible for dental, vision, enrollment period. However, you may
life, and disability beneits, employees must work at least 40 hours change your beneit elections during the
per week. Beneits are effective on the irst day following 30 days year if you experience a qualiied life
of employment. event, including:
You may enroll your eligible dependents for coverage once you are Marriage
eligible. Your eligible dependents include: Divorce or legal separation
Your legal spouse who does not have access to coverage Birth of your child
through his/her employer Death of your spouse or dependent
Your children up to age 26, including a natural child, stepchild, child
legally adopted child, or child for whom legal guardianship has Adoption of or placement for
been awarded to you or your spouse adoption of your child
If you do not enroll for insurance when you irst become eligible Change in employment status of
for beneits with EPS, you will need to wait for the next open employee, spouse, or dependent child
enrollment. With the exception of your HSA and FSA elections Qualiication by the plan
which must be done on an annual basis, once your remaining administrator of a child support
beneit elections become effective, they remain in effect until order for medical coverage
December 31, 2016. You may only change coverage within 31 days Enrolled in Medicare or Medicaid
of a qualiied life event.
Loss of coverage under any group
health coverage
Beginning May 1, 2015, if your spouse is offered medical/prescription
drug beneits through his/her employer, he/she will not be eligible for You must notify Human Resources
beneits through EPS, and must elect coverage through their employer’s within 31 days of the qualiied life event.
plan. You are required to complete an Afidavit of Spousal Coordination Depending on the type of event, you
of Beneits to verify whether your spouse is eligible to be covered under
this plan for 2015. This afidavit will be provided by HR after open may be asked to provide proof of the
enrollment. event. If you do not contact Human
Resources within 31 days of the qualiied
event, you will have to wait until the
next annual enrollment period to make
changes (unless you experience another
qualiied life event).
3
Eligibility and Enrollment Qualified Life Events
Generally, you may change your beneit
As an EPS employee, you are eligible for medical beneits if you elections only during the annual
work at least 30 hours per week. To be eligible for dental, vision, enrollment period. However, you may
life, and disability beneits, employees must work at least 40 hours change your beneit elections during the
per week. Beneits are effective on the irst day following 30 days year if you experience a qualiied life
of employment. event, including:
You may enroll your eligible dependents for coverage once you are Marriage
eligible. Your eligible dependents include: Divorce or legal separation
Your legal spouse who does not have access to coverage Birth of your child
through his/her employer Death of your spouse or dependent
Your children up to age 26, including a natural child, stepchild, child
legally adopted child, or child for whom legal guardianship has Adoption of or placement for
been awarded to you or your spouse adoption of your child
If you do not enroll for insurance when you irst become eligible Change in employment status of
for beneits with EPS, you will need to wait for the next open employee, spouse, or dependent child
enrollment. With the exception of your HSA and FSA elections Qualiication by the plan
which must be done on an annual basis, once your remaining administrator of a child support
beneit elections become effective, they remain in effect until order for medical coverage
December 31, 2016. You may only change coverage within 31 days Enrolled in Medicare or Medicaid
of a qualiied life event.
Loss of coverage under any group
health coverage
Beginning May 1, 2015, if your spouse is offered medical/prescription
drug beneits through his/her employer, he/she will not be eligible for You must notify Human Resources
beneits through EPS, and must elect coverage through their employer’s within 31 days of the qualiied life event.
plan. You are required to complete an Afidavit of Spousal Coordination Depending on the type of event, you
of Beneits to verify whether your spouse is eligible to be covered under
this plan for 2015. This afidavit will be provided by HR after open may be asked to provide proof of the
enrollment. event. If you do not contact Human
Resources within 31 days of the qualiied
event, you will have to wait until the
next annual enrollment period to make
changes (unless you experience another
qualiied life event).
3
