Page 4 - 2021 Marcolin Benefit Guide
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Benefit Basics







       ELIGIBILITY
       You are eligible for benefits if you work at least 30 hours
                                        st
       per week.  Your benefits are effective 1  of the month
       after 60 days of employment. Your dependents can also
       enroll for coverage.  Dependents include:

       •  Your legal spouse
       •  Your domestic partner
       •  Your children up to age 26, regardless of student,
          marital, or financial dependency status

       Your benefits will take effect on January 1, 2021 and will   QUALIFYING LIFE EVENTS
       remain in effect until December 31, 2021. Remember       Generally, you may only make or change your existing
       that you may only change coverage if you experience a    benefit elections during the open enrollment window.
       qualifying life event, as described here.                However, you may change your benefit elections during
                                                                the year if you experience an event such as:
       Your domestic partner is eligible for benefits if he or she

       is not a relative and has lived with you for at least six   •  Marriage
       months in a committed relationship. For more             •  Divorce or legal separation
       information about domestic partner benefits, please      •  Birth of your child or your domestic partner’s child
       contact the Human Resources department.                  •  Death of your spouse, domestic partner or
                                                                    dependent child

                                                                •  Adoption of or placement for adoption of your child
                                                                •  Change in employment status of employee,
                                                                    spouse/domestic partner or dependent child
                                                                •  Qualification by the Plan Administrator of a child
                                                                    support order for medical coverage
                                                                •  New entitlement to Medicare or Medicaid

                                                                You must notify Human Resources within 31 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. Human Resources will let you know
                                                                what documentation you should provide. If you do not
                                                                contact Human Resources within 31 days of the
                                                                qualifying event, you will have to wait until the next
                                                                open enrollment window to make changes (unless you
                                                                experience another qualifying life event).








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