Page 3 - Letterpress 2021 Benefit Guide

Important Information

The intent of our benefit guide is to briefly highlight your benefits and NOT to replace your
insurance contracts or booklets. The information has been compiled into summary form to
outline the benefits offered by your company. If this benefit guide does not address your
specific benefit questions, please refer to the Contact Information page of this booklet. The
contact page will provide you with the information you need to contact the specific insurance
carriers and/or Human Resources Department for additional assistance. The information
provided in this summary is for comparative purposes only. Actual claims paid are subject to
the specific terms and conditions of each policy contract. This benefit guide does not
constitute SBC’s, policy or contract.

Who is Eligible?

If you are a full-time employee, working a minimum of 30 hours you are eligible to enroll in the
benefits described in this guide. New employees are eligible on the first of the month following
60 calendar days of employment. The following family members are eligible for medical, dental,
and vision benefits: spouses and dependent children (see benefit page for age requirements).

When to Enroll
All employees are required to complete the New Hire
Enrollment at new hire and once a year during the Annual
Open Enrollment.
Open enrollment is in December for January 1st. New hire
enrollment forms are due to Human Resources within the
first 60 days of employment.

Can I make changes during the plan year?
Yes, you have HIPAA Special Enrollment Rights. To review these
rights, please refer to page 12.

LAW TO HAVE HEALTH INSURANCE

Individuals are still required to have medical unless you have qualified
waivers as mandated by current law. The penalty for not having
coverage ends January 1, 2019.

Please note that all medical plans offered by Letterpress Graphics, Inc. exceed the
minimum value standard for health coverage according to the Affordable Care Act.

3