Page 5 - 2021 Benefits Guide ENGLISH_Flipbook

BENEFITS ENROLLMENT

BENEFIT CARRIER WHO PAYS? YOUR PAYMENT

Medical UHC DMC & You Pre-Tax
Dental UHC DMC & You Pre-Tax
Vision Eye Med You Pre-Tax
Flexible Spending Account (F.S.A.) Discovery Benefits You Pre-Tax

Health Savings Account (H.S.A.) UHC DMC & You Pre-Tax
Health Reimbursement Accnt. (H.R.A.) UHC DMC -

401(k) The Standard DMC Match & You Pre-Tax or After Tax
Basic Life Lincoln Financial DMC -
Short Term Disability (Hourly) Lincoln Financial DMC -
Long Term Disability (Salaried) Lincoln Financial DMC -

Employee Assistance Program UHC DMC -
Pet Insurance United Pet Care You After Tax

Legal & Identity Theft Protection Legal Shield You After Tax
Auto & Home Insurance Liberty Mutual You Direct Bill

OUR COMMITMENT TO YOU BENEFITS BASICS
Plans designed to recognize diverse needs - Elections you make now will remain in effect
- Competitive and comprehensive benefits through December 31, 2020
- Provides plans based on individual needs - Make decisions wisely – open enrollment is
- Offers plans that provide long-term financial security for only once a year in October or November
you and your family - Outside open enrollment, you can make changes
within 31 days of experiencing a Qualifying Life Event
(defined below)

ELIGIBILITY
You are eligible for the benefits described above 1st of the QUALIFYING LIFE EVENTS INCLUDE:
month following 60 days of full-time employment. - Marriage, divorce or legal separation
Complete your enrollment by the 15 of month prior to - Birth or adoption of a child
your eligibility date, via www.paycom.com or Paycom App
- Change in child’s dependent status

- Death of a spouse, child or other qualified dependent
Spouse and dependent children under age of 26 are eligible
- Change in employment status or a change in coverage
for the following benefits: under another employer-sponsored plan.
- Medical & Prescription Drug Coverage

IMPORTANT ENROLLMENT INFORMATION

- Deadline to enroll is 15 days before the month you - Log on to www.paycom.com to Enroll or Opt-Out in medi-
become eligible for benefits. cal, dental and vision.

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