Page 3 - Leona Arizona Employment Group Flipbook

Eligibility

As a Leona employee, you are eligible for benefits if you work Changes to Your Benefits
at least 38 hours per week (30 hours per week for Medical). Generally, when you pay for benefits on a pretax basis,
you may change your benefit elections only during the
Coverage Effectivity Date annual enrollment period (held each May for a July 1
effective date).
Medical, Dental, & Vision
1st day of the month However, you may change your benefit elections during the
Flexible Spending Accounts following 30 days of year if you experience a qualified life event, provided you
regular employment notify HR within 30 days of the event, including:
Legal Assistance / ID Theft

 Marriage
Life & AD&D Insurance
 Divorce or legal separation
Long-Term Disability  Birth or adoption of a child
Date of hire  Death of your spouse or dependent child
Employee Assistance
 Change in employment status of employee, spouse or
Program
dependent child
Paid Time Off  Qualification by the Plan Administrator of a child support
order for medical coverage
After 1 year of full-time  Entitlement to Medicare or Medicaid
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Short-Term Disability
employment
1 Changes pursuant to the loss or gain of coverage under Medicaid or
Children’s Health Insurance Program must be requested within 60 days
after you or your dependent is terminated from, or determined to be
You may also enroll your dependents in certain benefit plans eligible for, such assistance.
when you enroll. Eligible dependents include:

 Your spouse
 For Medical coverage, your children who are less than age 26 You must notify Human Resources within 30 days of
 For Dental and Vision coverage, your children who are: the qualified life event. Depending on the type of
event, you may be asked to provide proof of the event,
 Under the age of 19
such as a marriage license. If you do not contact
 Unmarried full-time students less than age 25 (must
provide proof of full-time student status to be enrolled) Human Resources within 30 days of the qualified
event, you will have to wait until the next annual
 Unmarried and over the age of 19 (if physically or enrollment period to make changes (unless you
mentally disabled and incapable of self-support)
experience another qualified life event).
Paying Your Premiums on a Pretax Basis For more information about your benefits, please go
to the Employee Portal: paycom.com
Leona offers a Section 125 program which is an IRS-approved
program that allows you to use pretax dollars to pay your
insurance premiums. Each pay period, Leona deducts your
premium BEFORE you pay taxes on that money, thereby
reducing your taxable income.
IRS regulations require that when you pay for your benefits on
a pretax basis, you must keep the coverage for the entire plan
year – unless you experience a qualified life status change.

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