Page 40 - Intertek 2021 Benefits Guide
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PART B: Information About Health Coverage Offered by Your Employer
This section contains information about any health coverage ofered by your employer. If you decide to complete an application
for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the
Marketplace application.
Employer Name Employer Identiication Number (EIN)
Intertek USA, INC. 72–0703433
Employer address Employer phone number
200 Westlake Park Blvd., Suite 400 877.694.8543
City State ZIP Code
Houston TX 77079
Who can we contact about employee health coverage at this job?
Intertek Employee Beneits Center
Phone Number (if diferent from above) Email address
855.203.0911 usa.beneits@intertek.com
Here is some basic information about health coverage offered by this employer
As your employer, we offer a health plan to:
All employees. Eligible employees are:
Some employees. Eligible employees are:
Regular Full time employees, and Regular Part Time employees working 30 or more hours per week on average over a 12 month
period.
With respect to dependents:
We do ofer coverage. Eligible dependents are:
Natural, adopted, or step children if they are under age 26, children for whom you have been awarded a court-appointed
guardianship, a disabled child of any age whose disability began prior to age 26 and who has been continuously covered as your
dependent since becoming disabled, legal spouses, and same-sex domestic partners.
We do not ofer coverage.
If checked, this coverage meets the minimum value standard, and the cost of this coverage to you is intended to be afordable,
based on employee wages.
Note Even if your employer intends your coverage to be afordable, you may still be eligible for a premium discount through the
Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be
eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee
or you work on a commission basis), if you are newly employed mid-year, or if you have other income losses, you may still
qualify for a premium discount.
If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here’s the employer
information you’ll enter when you visit HealthCare.gov to ind out if you can get a tax credit to lower your monthly premiums.
40
This section contains information about any health coverage ofered by your employer. If you decide to complete an application
for coverage in the Marketplace, you will be asked to provide this information. This information is numbered to correspond to the
Marketplace application.
Employer Name Employer Identiication Number (EIN)
Intertek USA, INC. 72–0703433
Employer address Employer phone number
200 Westlake Park Blvd., Suite 400 877.694.8543
City State ZIP Code
Houston TX 77079
Who can we contact about employee health coverage at this job?
Intertek Employee Beneits Center
Phone Number (if diferent from above) Email address
855.203.0911 usa.beneits@intertek.com
Here is some basic information about health coverage offered by this employer
As your employer, we offer a health plan to:
All employees. Eligible employees are:
Some employees. Eligible employees are:
Regular Full time employees, and Regular Part Time employees working 30 or more hours per week on average over a 12 month
period.
With respect to dependents:
We do ofer coverage. Eligible dependents are:
Natural, adopted, or step children if they are under age 26, children for whom you have been awarded a court-appointed
guardianship, a disabled child of any age whose disability began prior to age 26 and who has been continuously covered as your
dependent since becoming disabled, legal spouses, and same-sex domestic partners.
We do not ofer coverage.
If checked, this coverage meets the minimum value standard, and the cost of this coverage to you is intended to be afordable,
based on employee wages.
Note Even if your employer intends your coverage to be afordable, you may still be eligible for a premium discount through the
Marketplace. The Marketplace will use your household income, along with other factors, to determine whether you may be
eligible for a premium discount. If, for example, your wages vary from week to week (perhaps you are an hourly employee
or you work on a commission basis), if you are newly employed mid-year, or if you have other income losses, you may still
qualify for a premium discount.
If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the process. Here’s the employer
information you’ll enter when you visit HealthCare.gov to ind out if you can get a tax credit to lower your monthly premiums.
40
