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Benefits eligibility, cont.

Dependent eligibility verification
As Texas Mutual is the sponsor of a self-funded medical and dental plans, the
company has a fiduciary responsibility to ensure the plan resources are used
appropriately. The company conducts dependent eligibility verifications as
part of your benefit enrollment process. If you enroll new dependent(s) in the
medical and/or dental plan(s), you must provide documentation which
supports the dependent relationship within 60 days of your benefit
enrollment effective date. Your Benefits Partner will contact you to begin the
verification process. A list of accepted documentation is located on the
intranet.

If you do not provide the required documentation by the communicated due
date, coverage for the applicable dependent(s) may be terminated effective
the last day of the month in which the dependent is determined to be
ineligible.
Changing your pre-tax benefit elections
For benefits that are deducted on a pre-tax basis (medical, dental, FSA, and
cancer), you may make a change during the plan year if you experience an
event which results in a qualifying change in status. Without a qualifying
event, you may only change your pre-tax benefit elections during annual
open enrollment.
You must submit your benefit election change in Workday within 31 days of
the qualifying event date and your election change must be consistent with
the qualifying event reason. Note: when ending coverage, the coverage will
end on the last day of the calendar month in which you submit the change in
Workday.

Federal law considers the following events to be examples of a qualifying
change in status:

■ You get married or divorced
■ You give birth to or adopt a child

■ Your spouse and/or child commences or terminates employment.
■ You and/or your spouse take(s) an unpaid leave of absence.
■ You, your spouse, or your child has a significant change in health
coverage directly attributable to employment
■ A dependent satisfies or ceases to satisfy the dependent eligibility
requirements
■ Your spouse and/or child dies
Changing your post-tax benefit elections
The changes you can make to your post-tax elections depend on the benefit
plan. For the supplemental life plan, you may request a change to your
election at any time. New enrollments and increase requests will go through
appropriate medical underwriting with our benefit vendor. For the identity
theft protection plan, you may request to change your coverage level at any
time. For the supplemental long-term disability plan, you may cancel your
election at any time.

Employee Benefits Guide 3