Page 3 - 2022 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 regardless of eligibility for       You must notify Human Resources within 31
          benefits.                                                      days of a qualifying life event.

                                                                         Depending on the type of event, you may need
          Starting in 2022, the Base Plan will not be available
                                                                         to provide proof of the event, such as a
          to new hires or rehires or in the case of a qualifying
                                                                         marriage license, birth certificate or divorce
          event.
                                                                         decree. If you do not contact Human Resources

                                                                         within 31 days of the qualified event, you will
          During 2023 open enrollment, the Base Plan will
                                                                         have to wait until the next annual enrollment
          only be available to active employees that selected
                                                                         period to make changes (unless you experience
          this plan for the 2022 benefit plan year.
                                                                         another qualifying life event).  The Base Plan is

                                                                         not an election option for any 2022 qualifying
                                                                         events.
                   Check your first 2022
                   paystub to make sure                                  Changes should be made on the ADP Self-
                                                                         Service portal https://workforcenow.adp.com
                   you have enrolled in the                              Documentation should be provided to your
                   correct plans.
                                                                         local HR manager.


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             PLEASE NOTE: Employees covered by a collective bargaining agreement should refer to their union agreement to determine if they are eligible for these plans.
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