Page 4 - 2022 DPR Construction Benefit Guide_Administrative Employees

Eligibility

Employees who work 30 or more hours per week and are non-union are eligible for all
benefit plans. Part-time employees who work between 20-29 hours per week and are
non-union are eligible for medical, dental and vision benefits at part-time employee
weekly premiums. Benefits are effective on your first day of employment unless otherwise
noted. Benefit coverage will end on your last day of employment and you will be offered
continuation of coverage through Cobra if elected.

You may also enroll your eligible dependents for coverage. This includes the following:
• Your legal spouse or qualified domestic partner *
• Your children, step-children, children of your domestic partner under the age of 26, regardless of student, dependency or
marital status **
• Your children, step-children, children of your domestic partner who are past the age of 26 and are fully dependent on you
for support due to a mental or physical disability, and who are indicated as such on your federal tax return
* If you enroll your domestic partner, contributions made by DPR towards the monthly premium for your domestic partner are subject to
imputed income.
** Per ERISA Plan Compliance, DPR requests proof of dependent relationship for dependent coverage. If you plan to cover dependents on your medical, dental
or vision plan please come prepared with dependent documentation to prove dependent relationship. When adding a dependent to your coverage, you are
certifying that they are an eligible dependent. Ineligible dependents cannot be added to our plans and are subject to audit and repayment.

Qualified Life Events

You may change your benefit elections during the year if you experience a Qualified Life Event. Documentation will be required
for all benefit changes due to a qualifying event.

Change Benefits After Enrollment / Qualified Life Events

During the year, you cannot make changes to your Medical, Dental, Vision, Health Care or Day Care Flexible Spending Accounts
unless you have a Qualified Life Event. If you do not complete your Qualifying Life Event in Workday within 30 days of the
Qualified Life Event, you will have to wait until the next annual Open Enrollment period to make changes (unless you experience
another Qualified Life Event). Documentation will be required for all benefit changes due to qualifying event. How to Change
your Benefits in Workday.

QUALIFIED LIFE EVENT DOCUMENTATION NEEDED

Marriage/Domestic Partnership Copy of marriage certificate/Declaration of Domestic Partnership
Change in Divorce/legal separation/domestic Copy of divorce decree/Domestic Partnership Dissolution Agreement
marital status partnership termination
Death Copy of death certificate
Birth or adoption Copy of birth certificate or copy of legal adoption papers
Change in Step-child/child of Copy of birth certificate plus a copy of the marriage certificate or Declaration
dependents domestic partner of Domestic Partnership between employee and spouse/domestic partner
Death Copy of death certificate
Change in your eligibility status
Notification of increase or reduction of hours that changes coverage status
(i.e., full-time to part-time)
Change in Change in spouse’s or
employment Notification of spouse’s or domestic partner’s employment status that results
domestic partner’s benefits or in a loss or gain of coverage
employment status
DPR will periodically conduct dependent audit verification for dependents enrolled in DPR plans.

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