Page 4 - Siemens Gamesa 2022 PY Benefits Guide

Benefit Basics

Each year—during Open Enrollment—you have an CHANGING YOUR COVERAGE
opportunity to select your benefits for the upcoming year. IRS regulations state that you cannot change benefit
Since your personal situation may change from year to options during the year unless you have a qualifying
year, this ensures you can always choose the right benefit life event (QLE). A qualifying life event includes:
coverage each year. Open Enrollment for 2022 benefits • Marriage
will be held from October 25–November 5, 2021. The
choices you make will be effective from January 1 • Divorce or legal separation
through December 31, 2022. • Birth or adoption of a child
• Acquired guardianship (legal guardianship, foster child)
ELIGIBILITY FOR BENEFITS • Death of a spouse or dependent child
As a Siemens Gamesa Renewable Energy full-time regular
employee, you are eligible for benefits if you work more • Gain or loss of coverage on another plan
than 20 hours per week. Your benefits are effective on your • Change in employment status of employee, spouse
date of hire. You also can enroll eligible dependents for or dependent child
coverage. Eligible dependents include: • Qualified medical support order
• Your spouse
• Entitlement to Medicare or Medicaid
• Your domestic partner, of the same or opposite sex*
• Your child has reached the plan’s age limit
• Your children and/or domestic partner’s children up • Start or loss of domestic partnership
to age 26—for medical, dental and vision
• Your unmarried children of any age who are incapable of
self-support due to a mental or physical disability and
who are totally dependent on you—for medical, dental
and vision

Important! You must notify the Benefits Service Center to make changes within 30 days of the life event.
Depending on the type of event, you may be asked to provide proof of the event. For example, if you get married, you might
days need to show your marriage license.

If you don’t contact the Benefits Service Center within 30 days of the qualified life event date, you will have to wait until
the next Open Enrollment period to make changes.

* Employers are required to report as compensation the value of medical, dental, and vision insurance provided to domestic partners and the children
of these relationships and to withhold taxes on that amount. The value of the health insurance coverage provided to these dependent relationships is
referred to as imputed income.

4 Your Benefits | Your Decisions