Page 4 - Impact XM 2022 Benefit Guide
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Benefit Basics
For more information about your
benefits and to complet your
enrollment, login to your ADP
ELIGIBILITY
Workforce Now Account:
You are eligible for benefits if you work at least 30
https://workforcenow.adp.com
hours per week. Your benefits are effective 30 days
following your date of hire. Dependents include:
• Your legal spouse
• Your domestic partner
• Your children up to age 26 QUALIFYING LIFE EVENTS
Generally, you may only make or change your existing
Your benefits will take effect on January 1, 2022 and benefit elections during the open enrollment window.
will remain in effect until December 31, 2022. However, you may change your benefit elections during the
Remember that you may only change coverage if you year if you experience an event such as:
experience a qualifying life event, as described here.
• Marriage
Your domestic partner is eligible for benefits if he or • Divorce or legal separation
she is not a relative and has lived with you for at least • Birth of your child or your domestic partner’s child
six months in a committed relationship. For more
• Death of your spouse, domestic partner or
information about domestic partner benefits, please
dependent child
contact Human Resources.
• Adoption of or placement for adoption of your child
• Change in employment status of employee,
spouse/domestic partner or dependent child
• Qualification by the Plan Administrator of a child
support order for medical coverage
• New entitlement to Medicare or Medicaid
You must notify Human Resources within 30 days of a
qualifying life event. Depending on the type of event, you
may need to provide proof of the event, such as a marriage
license. Human Resources will let you know what
documentation you should provide. If you do not contact
Human Resources within 30 days of the qualifying event,
you will have to wait until the next open enrollment
window to make changes (unless you experience another
qualifying life event).
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