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                                    4Cigna Open Enrollment line:(888) 806-5042Eligible BeneficiariesYou can designate any individualof your choice as yourbeneficiary. You must add yourbeneficiaries at the time ofenrollment. Required fields arefull name(s) and relationship,however, the more informationyou provide, the better. Thiscould be things like their SSN,address, phone number andmore to keep on file.You may be required to enter into aregistered domestic partnership orother official domestic partnershiparrangement with your state inorder to elect coverage for adomestic partner or your domesticpartner's child(ren). Coverage foryour domestic partner and childrenwill not be tax-free if they do notqualify as your tax dependent(s).It may be possible for a registereddomestic partner and/or theirchild(ren) to qualify as your taxdependents for state tax purposeseven when they do not qualify asyour federal tax dependent(s).Your child up to age 26 -natural or adopted childincluding stepchildren, fosterchildren, and adopted childrenAll employees who regularly work at least 24 hours per week are eligibleto enroll in our medical, dental, and vision benefits. You can also enrolleligible dependents such as your spouse or domestic partner, and yourchild(ren).1. Who is eligible for benefits?Eligibility & EnrollmentQuick answers to your questions.Your Legal SpouseYour Domestic PartnerEligible DependentsIf you elect benefits that include coverage for dependents, please addtheir Social Security Number (SSN) in the space provided duringenrollment. Please note that it is important to provide this information.The Affordable Care Act requires employers to report to the IRS the SSN ofall employees and dependents with minimum essential coverage.Social Security Number RequirementOpen all year to answer questions.2. When can I enroll?Please submit your enrollment using thelink and QR code.https://form.jotform.com/2504347673391613. How to Enroll:Questions on how to Enroll?contact Service@thecacompanies.com for assistance.Paylocity is our benefits and HR Administration portal.4. PaylocityTo access the self-service portal, please use the following:Log into the Self Service Portal: www. access.paylocity.com/Contact Human Resources (HR) for any additional assistance.Eligible new hires are eligible for benefits on their first day ofemployment, during Open Enrollment, or upon experiencing a QualifyingLife Event. Open Enrollment is a period of time that happens once a year%u2014 typically in November/December %u2014 when you can sign up for benefits,add or remove dependents, adjust your current plan or cancel yourplan. A Qualifying Life Event is a change in your situation that may makeyou eligible for a Special Enrollment Period, allowing you to enroll inhealth insurance, cancel, or change plans within 30 days of the event.
                                
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