Page 4 - 2022 US Benefits Guide FINAL

ELIGIBILITY

Employees who work at least 40 hours per week* are
eligible for the benefits described in this guide. Spouses/domestic
*Employees who work 30 hours per week are eligible for Medical Benefits Only partners with access to
Most benefits are effective on your date of hire as long as you enroll other employer
within 31 days. The following dependents are also eligible: coverage
 Your legal spouse We have a spousal
 Your domestic partner surcharge that is intended to
 Your children up to age 26 encourage working spouses
to review all medical plan
Changes to your benefits options available to them
Generally, you may only make or change your existing benefit elections and to keep our costs
as a new hire or during the annual open enrollment period. However, reasonable for everyone. If
you may change your benefit elections during the year if you experience your spouse or domestic
an event such as: partner is eligible for medical
 Marriage, divorce or legal separation coverage through their
 Birth or adoption of a child employer, and you cover
 Loss or gain of other coverage by the employee or dependent them on our medical plan,
 Eligibility for Medicare or Medicaid you will be required to pay a
surcharge of $100 per
You have 31 days from the qualified life event to make changes to month in addition to your
your coverage. Depending on the type of event, you may need to regular medical premiums.
provide proof of the event, such as a marriage certificate. If you do not
make the changes within 31 days of the qualified event, you will have to
wait until the next open enrollment period to make changes (unless you
experience another qualified life event).

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