Page 3 - 2022 Local 502 Mersen Benefit Guide
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Eligibility


          Eligibility
                                                                        Eligible Dependents
          If you are an eligible full-time Mersen USA Holding Corp.,    Your dependents are eligible for medical, prescription drug,
          employee (or a part-time employee regularly scheduled to      dental, vision, and dependent life insurance coverage until

          work at least 30 hours a week), you are eligible to participate   the last date of the month following their 26th birthday
          in the Mersen USA benefit program.                            (additional deductible applies to family members).

          However, you are not eligible to participate in the Mersen    Children include your natural born children, legally
          USA benefit program if you are:                               adopted children, stepchildren and any child placed in
                                                                        your home for legal adoption or guardianship. You are
                  •   Covered by a collective bargaining agreement
                                                                        responsible for ensuring that your dependents enrolled
                      that does not provide eligibility for these
                                                                        in the plan meet the eligibility requirements. Your
                      benefits
                  •   Employed by an affiliate of Mersen USA            spouse is your legally married spouse.
                      Holding Corp., that does not offer these
                      benefits
                  •   Working at a specific division, department or     What is a Qualifying Event?
                      other business unit (which may include            Generally, you may only change your benefit elections
                      acquired operations) to which these benefits      during the annual enrollment period. However, you
                      have not been extended                            may change your benefit elections during the year if
                  •   An expatriate working in the US under an          you experience an event such as:
                      assignment agreement                                   •  Marriage
                                                                             •  Divorce/legal separation
          Coverage Effective Dates
                                                                             •  Birth of your child/spouse’s child
          If you enroll in, reduce, or drop benefits in ADP
                                                                             •  Death of your spouse or dependent child
          during the Annual Enrollment period, your change in
                                                                             •  Loss of coverage under another plan
          coverage will take effect on January 1, 2022.
                                                                         Qualifying Event Changes
          New hires must enroll in ADP benefits online within
          21 days of their hire date and will be eligible for            You must notify Human Resources within 31
                            th
          benefits as of their 90  day of employment.                    days of a qualifying life event.

                                                                         Depending on the type of event, you may need

                                                                         to provide proof of the event, such as a
                                                                         marriage license, birth certificate or divorce
                                                                         decree. If you do not contact Human Resources
                                                                         within 31 days of the qualified event, you will
             Check your first 2022                                       have to wait until the next annual enrollment
             paystub to make sure                                        period to make changes (unless you experience
             you have enrolled in the                                    another qualifying life event).
             correct plans.                                              Changes should be made on the ADP Self-
                                                                         Service portal https://workforcenow.adp.com
                                                                         Documentation should be provided to your
                                                                         local HR manager.

                                                                         Refer to your Local 502 union contract for more
                                                                         details.


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