Page 2 - 2022 Benefit Guide DyAG-DTS
P. 2

Table of Contents




                              Benefit Eligibility                                    1

                              Qualified Life Events & Enrolling in Benefits          2
                              Medical & Prescription Coverage                      3-4

                              Health Savings Account                                 5
                              Dental Coverage                                        6

                              Vision Coverage                                        7

                               Advocacy Services                                     8
                              Life/AD&D Insurance Coverage                           9

                              Important Contacts, Resources and Required Notices  10-12

   Benefit Eligibility





    Eligibility: As a Fives employee, you are eligible for benefits if you

    work at least 30 hours per week.  Benefits are effective the 1 of the
                                                    st
    month following 30 days from your date of hire unless your hire date
    is the 1 of the month, then the next month.
          st
    Dependent Eligibility: You may enroll your eligible dependents for

    coverage once you are eligible. Eligible dependents include your
    legal married spouse and your children (including natural, step-
    children, legally adopted/ guardianship) through the month in which
    they turn age 26.
    Once your benefit elections become effective, they remain in effect
    until the end of the year. You may only change coverage within 31
    days of a qualified life event. If you terminate or retire from the
    Company, benefits end on the last day worked.
























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