Page 4 - 2022 Benefit Guide Bronx

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 be
to your benefit elections during the year may be made if you 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 will
• Marriage 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

Complete your Enrollments. Key Considerations for 2022 Open Enrollment
• Log on to ADP at workforcenow.adp.com. If the enrollment
• Vision: Coverage remains with VSP. An Enhanced higher
page does not display go to Myself <Benefits<Enrollments.
coverage level plan has been added. (page 8)
• New Hires: Enroll within 31 days of date of hire.
• Flexible Spending Account: Re-enroll in a Health,
• Open Enrollment: for 2022 elections, enroll Nov 3rd – 17th
Dependent Care or Limited Flexible Spending Account (FSA),
even if currently enrolled - a new election must be made each
Resource Assistance:
year.
• Resources online: www.fivesbronxhr.com.
• Fives Retirement Savings Plan: Review information in the
• Voya Plan Information: www.presents.voya.com/EBRC/Fives
Open Enrollment checklist on annual auto enrollment and auto
• Direct Path: Call customer service at 866-253-2273 or
percent increase – take action as appropriate.
Email: advocate@directpathhealth.com See page 10
• Carrier Contacts: See page 17 for applicable information.

A key resource for all your benefit information, plan documents, claim forms, phone
numbers, website links, etc. can be found on www.fivesbronxhr.com

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