Page 3 - Leona Arizona Employment Group Flipbook
P. 3

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
                                                                                                 1
           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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