Page 4 - Ampact 2022 Benefit Guide

Benefit Basics

ELIGIBILITY For more information about
You are eligible for benefits if you are a regular
employee who works at least 20 hours per week. your benefits, please contact:
Temporary employees who work at least 30 hours
per week are eligible for medical benefits only. Sarah Evans
Most of your benefits are effective on the first day
of the month following your date of hire. Your Benefits Manager and Human
dependents can also enroll for coverage, Resources Partner
including:

• Your legal spouse 612-470-3220
• Your same or opposite sex domestic partner benefits@ampact.us
• Your children up to age 26-regardless of
marital or student status.

Your benefits will take effect on August 1, 2022 Benefit Costs
and will remain in effect until July 31, 2023.

QUALIFYING LIFE EVENTS
Generally, you may only make or change your Benefit Who Pays Tax Treatment
existing benefit elections during the open
enrollment window. However, you may change Medical Ampact & Pretax
your benefit elections during the year if you You
experience an event such as: Dental Ampact & Pretax
You

• Marriage, divorce or legal separation Vision You Pretax
• Birth or adoption of a child Health Savings Account Ampact & Pretax
• Loss or gain of other coverage by the Flexible Spending You Pretax
You
employee or dependent
• New entitlement to Medicare or Medicaid Accounts
Basic Life and Accidental
Death & Dismemberment Ampact After-tax
(AD&D) Insurance
You must notify Human Resources within 30 days
of a qualifying life event to make changes to your Voluntary Life and AD&D You After-tax
Insurance
coverage. Depending on the type of event, you
may need to provide proof of the event, such as Short-Term Disability Ampact After-tax
a marriage license. If you do not make the Long-Term Disability Ampact After-tax
changes within 30 days of the qualified event, you Hospital Indemnity You After-tax
will have to wait until the next open enrollment Insurance
period to make changes (unless you experience Accident Insurance You After-tax
another qualifying life event).
Legal & ID Plan You After-tax

Pet Insurance You After-tax
Roth 401(k) You After-tax
401(k) Retirement Savings Pretax
Plan You

4
2

Effective August 1, 2022-July 31, 2023