Page 4 - 2022 Benefit Guide FNA Combustion

Qualified Life Events

Generally, you may change your benefit elections only You must notify Human Resources within 31 days of the
during the annual enrollment period. However, changes qualified life event. Depending on the type of event, you may
to your benefit elections during the year may be made if you be asked to provide proof of the event. If you do not contact
experience a qualified life event, including: Human Resources within 31 days of the qualified event, you
• Marriage will have to wait until the next annual enrollment period to make
• Divorce or legal separation changes (unless you experience another qualified life event).
• Birth of your child
You may log into ADP at www.workforcenow.adp.com, click on
• Death of your spouse or dependent child
Myself < Benefits < Enrollments < Life Events.
• Adoption of or placement for adoption of your child
• Change in employment status of employee, spouse or
dependent child
• Qualification by the Plan Administrator of a child support
order for medical coverage
• Entitlement to Medicare or Medicaid

Enrolling in Your Benefits

Log on to ADP at www.workforcenow.adp.com Key Considerations for 2022 Open Enrollment
to complete your enrollments. • Spousal Surcharge: An additional, pre-tax premium will
• If the enrollment page does not display go to the tab Myself apply when a spouse (i) is employed, (ii) is eligible to enroll in
<Benefits<Enrollments. his/her employer-sponsored medical benefits but declines
• New Hires: Enroll within 31 days of date of hire. enrollment and (iii) elects Fives medical benefits as primary
rd
th
• Open Enrollment: for 2022 elections: Enroll Nov 3 – 17 . coverage – see page 3.
• Vision: Coverage remains with VSP. An Enhanced higher
If You Need Assistance coverage level plan has been added. See page 8.
• ADP Resources online: Under Resources – • Re-enroll in a Health, Dependent Care or Limited Flexible
Tools/Resources for presentation, videos, summaries, etc.
Spending Account (FSA), even if currently enrolled - a new
• Voya Plan: presents.voya.com/EBRC/Fives election must be made each year.
• Direct Path: Call customer service at 866-253-2273 or • Fives Retirement Savings Plan: Review information in the
Email: advocate@directpathhealth.com – See page 10 Open Enrollment checklist on annual auto enrollment and
• Carrier Contacts: See page 17 for applicable information. auto percent increase – take action as appropriate.

Computer/Internet Access: If you do not have internet access
to complete your 2022 enrollment, contact your Supervisor to set
up a time to use a company computer.

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