Page 160 - Washington Nationals 2023 Benefits Guide -10.26.22_Neat

APPENDIX A

LWIP MEDICAL BENEFITS

Name of Club/Baseball-Related Entity: Washington Nationals Baseball Club, LLC

Eligible Employees:

• Full-Time Employees: All active employees working a minimum of 35 hours per week;
and
• ACA Full-Time Employees: Employees who are otherwise ineligible for coverage but
are determined by their Employer to be “full-time employees” in accordance with the
“ACA Employer Mandate” as described in the ELIGIBILITY TO PARTICIPATE section of
this booklet.

Eligible Dependents:
• Full-Time Employees: The following dependents of Full-Time Employees are “Eligible
Dependents”:

o spouses;
o children (including your legal children, foster children, or step-children) under age
26; and
o unmarried disabled dependent children age 26 and older.

• ACA Full-Time Employees: The following dependents of ACA Full-Time Employees
are “Eligible Dependents”:
o children (including your legal children, foster children, or step-children) under age
26.

Employee Contributions: You are required to contribute towards the cost of the coverage you
elect at the rates established each year by your Employer.

Insurance Effective Date: January 1, 2021

New Hire Effective Date:

• Full-Time Employees: Coverage will become effective on the first day of the month
coinciding with, or next following, your date of hire; provided that you are an Eligible
Employee on that date. For the avoidance of doubt, coverage will become effective on the
date of hire if an Eligible Employee is hired on the first day of the month.
• ACA Full-Time Employees: Coverage will become effective on the first of the month
following a 12-month initial measurement period that begins on the date of hire, if the ACA
Full-Time Employee works on average a minimum of 30 hours per week during that initial
measurement period, or the January 1 following any subsequent standard measurement
period during which the ACA Full-Time Employee works on average a minimum or 30
hours per week.

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