Page 4 - 2022 Benefit Guide NA Construction
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Qualified Life Events




       Generally, you may change your benefit elections only   You must notify Human Resources within 31 days of the
       during the annual enrollment period. However, changes   qualified life event. Depending on the type of event, you may
       to your benefit elections during the year may be made if you   be asked to provide proof of the event. If you do not contact
       experience a qualified life event, including:       Human Resources within 31 days of the qualified event, you
       • Marriage                                          will have to wait until the next annual enrollment period to make
       • Divorce or legal separation                       changes (unless you experience another qualified life event).
       • Birth of your child
                                                           You may log into ADP at www.workforcenow.adp.com, click on
       • Death of your spouse or dependent child
                                                           Myself < Benefits < Enrollments < Life Events.
       • Adoption of or placement for adoption of your child
       • Change in employment status of employee, spouse or
         dependent child
       • Qualification by the Plan Administrator of a child support
         order for medical coverage
       • Entitlement to Medicare or Medicaid












    Enrolling in Your Benefits


      Log on to ADP at www.workforcenow.adp.com            Key Considerations for 2022 Open Enrollment
      to complete  your  enrollments.
                                                           •  Spousal Surcharge: An additional, pre-tax premium will
      •  If the enrollment page does not display go to the tab Myself
                                                              apply when a spouse (i) is employed, (ii) is eligible to enroll in
         <Benefits<Enrollments.
                                                              his/her employer-sponsored medical benefits but declines
      •  New Hires:   Enroll within 31 days of date of hire.
                                                              enrollment and (iii) elects Fives medical benefits as primary
                                                   rd
                                                        th
      •  Open Enrollment: for 2022 elections:  Enroll Nov 3 – 17 .
                                                              coverage – page 3.
      If You Need Assistance                               •  Vision: Coverage remains with VSP.   An Enhanced higher
      •  ADP Resources online:  Under Resources –             coverage level plan has been added.  See page 10.
         Tools/Resources for presentation, videos, summaries, etc.   •  Re-enroll in a Health, Dependent Care or Limited Flexible
      •  Voya Plan:  presents.voya.com/EBRC/Fives             Spending Account (FSA), even if currently enrolled - a new
      •  Direct Path:  Call customer service at 866-253-2273 or       election must be made each year.
         Email:  advocate@directpathhealth.com – See page 10  •  Fives Retirement Savings Plan: Review information in the

      •  Carrier Contacts:   See page 16 for applicable information.  Open Enrollment checklist on annual auto enrollment and
                                                              auto percent increase – take action as appropriate.

      Computer/Internet Access:  If you do not have internet access
      to complete your 2022 enrollment, contact your Supervisor to set
      up a time to use a company computer.



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