Page 4 - Drive DeVilbiss - 2022 Union Guide

Eligibility

Employees who work at least 30 hours per week are eligible for the benefits described in this guide.

Employees are eligible to participate the first of the month Changes to your benefits
following the probationary period and must work 30 hours Generally, you may only make or change your existing
per week.
benefit elections as a new hire or during the annual open
enrollment period. However, you may change your benefit
New hires must enroll within 30 days of eligibility date. elections during the year if you experience an event such as:
● Marriage, divorce or legal separation
The following dependents are also eligible:
● Birth or adoption of a child
● Your legal spouse ● Loss or gain of other coverage by the employee or
● Your domestic partner (dental & vision only) dependent
● Your children up to age 26* ● Eligibility for Medicare or Medicaid

You must notify Drive DeVilbiss Healthcare Human
Once your benefit elections become effective, they remain in
effect until the end of the year. You may only change coverage Resources within 30 days of the qualified life event.
within 30 days of a qualified life event. Depending on the type of event, you may need to provide
proof of the event, such as a marriage license. If you do not
*Dependent coverage for all benefits ends on the last day of make the changes within 30 days of the qualified event, you
the month that the dependent turns 26 regardless of student will have to wait until the next open enrollment period to make
status. changes (unless you experience another qualified life event).

When an employee is terminated, medical, dental & vision
coverage will be terminated at the end of the month. All other
coverages end on date of termination.

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