Page 4 - On Locaiton 2023 Benefit Guide
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Benefit Basics









                                                                               For more information about your
                                                                                 benefits and to complet your
                                                                                 enrollment, login to your ADP
          ELIGIBILITY
                                                                                   Workforce Now Account:
          You are eligible for benefits if you work at least 30
                                                                                https://workforcenow.adp.com
          hours per week.  Your benefits are effective 30 days
          following your date of hire. Dependents include:


          •    Your legal spouse
          •    Your domestic partner
          •    Your children up to age 26                          QUALIFYING LIFE EVENTS
                                                                   Generally, you may only make or change your existing
          Your benefits will take effect on January 1, 2023 and    benefit elections during the open enrollment window.
          will remain in effect until December 31, 2023.           However, you may change your benefit elections during the
          Remember that you may only change coverage if you        year if you experience an event such as:
          experience a qualifying life event, as described here.
                                                                   •    Marriage
          Your domestic partner is eligible for benefits if he or   •   Divorce or legal separation
          she is not a relative and has lived with you for at least   •  Birth of your child or your domestic partner’s child
          six months in a committed relationship. For more
                                                                   •    Death of your spouse, domestic partner or
          information about domestic partner benefits, please
                                                                        dependent child
          contact Human Resources.
                                                                   •    Adoption of or placement for adoption of your child
                                                                   •    Change in employment status of employee,
                                                                        spouse/domestic partner or dependent child
                                                                   •    Qualification by the Plan Administrator of a child
                                                                        support order for medical coverage
                                                                   •    New entitlement to Medicare or Medicaid


                                                                   You must notify Human Resources within 30 days of a
                                                                   qualifying life event. Depending on the type of event, you
                                                                   may need to provide proof of the event, such as a marriage
                                                                   license. Human Resources will let you know what
                                                                   documentation you should provide. If you do not contact
                                                                   Human Resources within 30 days of the qualifying event,
                                                                   you will have to wait until the next open enrollment
                                                                   window to make changes (unless you experience another
                                                                   qualifying life event).
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