Page 4 - Mitsubishi-2022-Benefit Guide-MCCFC-MCA Golf-V14(JO)-LRI

Eligibility

You are eligible for the benefits program if you are in a class of eligible employees and are a regular, full-time employee or
a regular, part-time employee working 24 or more hours per week.

Most benefits are effective on your date of hire. You have 31 days from the qualified life event to make
The following dependents are also eligible: changes to your coverage. Depending on the type of

● Your legal spouse (NOTE: Legal spouse does not event, you may need to provide proof of the event, such as
include a legally separated spouse.) a marriage license, birth certificate, divorce decree or proof
Your domestic partner* of other coverage. If you do not make the changes within
●
31 days of the qualified event, you will have to wait until the
● Your children up to age 26** next open enrollment period to make changes (unless you
Changes to your benefits experience another qualified life event).
Generally, you may only make or change your existing
benefit elections as a new hire or during the annual
open enrollment period. However, you may change your
benefit elections during the year if you experience a
qualifying life event such as:
Marriage, divorce or legal separation
●
● Birth or adoption of a child
● Loss or gain of other coverage by the employee
or dependent
● Eligibility for Medicare or Medicaid
*Domestic partners are eligible for medical, dental
and vision coverage. Please see your medical policy
for domestic partner definition. Domestic partner and
children of domestic partner may not qualify for pretax
premiums. Please speak with your HR Department for
more information.
**Certain voluntary benefit eligibility may differ.
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