Page 2 - 2022 01 Benefits Guide Murata Flipbook Final 6.14.22

Eligibility

Eligible dependents who may participate are your spouse, domestic partner, and dependent children up to age 26 (no
age limitation for children who are determined disabled by age 19). Marriage and/or birth certificates are required to
verify eligibility when adding a new dependent to the plans. Please contact the Benefits Department for information
regarding any state specific documentation for a domestic partner.

All benefits-eligible employees may enroll or make changes to their medical, dental, vision, and other benefits during the
annual benefits open enrollment period, which generally occurs each fall.

However, your annual elections may not change during the year, unless you have a qualified life event (QLE). All QLE
enrollment changes must have supporting documentation and be requested within 31 days of the event, including:

• Marriage or Divorce • Change in Dependent Eligibility Due to Age
• Birth or Adoption • Loss or Gain of Coverage
• Death of a Covered Dependent • Entitlement to Medicare or Medicaid

If you lose eligibility for benefits due to reduction in hours or termination of employment, continuation of health care
coverage is available to you and your covered dependents (at your expense) under federal COBRA law. Health care
coverage includes medical, dental and vision, as well as the health care flexible spending account.

Spousal Surcharge: If your spouse is eligible for coverage through their employer, your spouse will only be allowed to
enroll in Murata’s Group Medical Plan, if you agree to pay for the coverage inclusive of a spousal surcharge rate. You must
complete an online certification during the enrollment window. The spousal surcharge is $23.08 bi-weekly. The surcharge
is pre-tax.

If your spouse is not eligible for coverage through their employer, your spouse will be allowed to enroll in Murata’s Group
Medical Plan without an imposed spousal surcharge. You must complete the online certification during the enrollment
window.

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