Page 4 - KIPP NYC 2022 Benfits Summary

KIPP NYC Benefit Plans
KIPP NYC pays a generous portion of the cost of your benefit plans which is considered part of your “total compensation” package. Your contributions for most benefits, if any, are made with “pre-tax” dollars. The cost of the option you choose is deducted from your pay before taxes are computed. Because your annual income is reduced by the amount of your deductions for elected benefits, you pay less in taxes. Details on whether contributions are deducted from your pay on a pre-tax or after-tax basis for a benefit option are identified in this booklet.
Who is Eligible to Participate?
All employees regularly scheduled to work at least 30 hours per week are eligible to enroll in the health plans. Employees who are regularly scheduled to work at least 40 hours per week are eligible to enroll in all other benefits offered by KIPP NYC.
Medical, dental and vision benefits are also extended to your eligible dependents. Eligible dependents include:
• Your legal spouse including your same-sex spouse if married in a state that recognizes same-sex spouses (must be U.S. citizen or permanent resident)
• Your same or opposite sex domestic partner*
• Any of your dependent children
• Any of your spouse or domestic partner’s dependent
children
Proof of dependent relationship is required for all dependents (marriage, birth certificate or signed Domestic Partner Affidavit).
The term child includes any of the following:
• A natural child or stepchild
• A legally adopted child or
• A child placed for adoption
• A child placed for foster care
• A child for whom you are the legal guardian
For Medical Coverage Only
• A dependent includes any dependent child to age 26 regardless of full-time student or marital status.
For Dental and Vision Coverage
• A dependent includes any dependent child to age 26 regardless of full-time student status.
It is your responsibility to make sure all dependents you enroll are eligible for coverage. Dependent children who no longer qualify for benefits under KIPP NYC’s plan may continue coverage under COBRA. It is your responsibility to notify Human Resources within 60 days of your dependent reaching the plan’s limiting age in order to ensure your dependent is eligible to continue coverage under COBRA.
Important Note About Domestic Partnership Taxability
Your medical, dental and vision contributions made towards coverage for your domestic partner will
be deducted from your pay on an after-tax basis. Employer contributions towards domestic partner coverage are considered taxable income and will be added to your gross annual salary.
If you want to cover an eligible same or opposite sex domestic partner and that person is your dependent for tax purposes, you must complete the Section 152 form (Certification for Tax Dependents Form) annually to be exempt from imputed income. The Certification for Tax Dependents form must be returned to the Benefit Advocate Center via fax 856.380.4558 within 30 days of the date your benefits go into effect. Forms received will be processed on a prospective basis; no retroactive adjustments will be made.
When Benefits Begin
New hires who meet the eligibility requirements are eligible for health benefits on their date of hire. You are eligible for short-term disability on the first of the month following 8 months of employment. If you are a part-time employee recently elevated to full-time employment status, your Medical and Vision benefits will begin on day one. Dental, life and disability benefits will begin the first of the month following the status change date.
You will be able to enroll in these benefits via UKG. Enrollment information will be outlined during your new hire orientation.
Waive Coverage
You may choose to waive medical, dental, vision, FSA and/ or cancer policy benefits. Your next opportunity to enroll in these plans will be the next annual enrollment period unless you experience a life status change. Eligible employees may waive medical coverage entirely and receive an annual medical waiver credit ($500: employee only, $2,000 employee + spouse/child(ren), $2,500: family). To receive the waiver credit, you will be required to provide proof of other medical coverage.
4 KIPP NYC PUBLIC SCHOOLS