Page 3 - Revelations Group 2 - 2021 Arl. Res. Benefit Guide (R3)

Important Information

The intent of our benefit guide for GROUP 2 employees 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 con-
tract. Our Employee Benefit Portal includes plan information, summaries, costs, carriers contact
information, videos and more.

Who is Eligible?

If you are a full-time employee classified as GROUP 2, working a minimum of 30 hours per week, 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. Family members are eligible for medical, dental, vision
(see benefit page for dependent children age requirements).

When to Enroll

All employees are required to complete the New Hire online Enrollment at
new hire and once a year during the Annual Open Enrollment. You may be
provided forms by HR or the Administrator.
Open enrollment is in December for a January 1st effective date. New hire
enrollment login and password will be provided by your Human Resources
contact with login instructions on page 21.

Can I make changes during the plan year?
Yes, you have HIPAA Special Enrollment Rights. To review these rights, please refer to page 30 or the Library
section of your Benefit Website.

LAW TO HAVE HEALTH INSURANCE or PAY!

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

Please note that ALL United Healthcare medical plans offered by Revelations Healthcare Group.
Does not meet the “minimum essential standard” for health coverage according to the Affordable
Care Act.

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