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2016 Benefits Enrollment
Beneits Eligibility
Eligible Employees
You may enroll in the beneits program if you are a regular full-time
employee who is actively working a minimum of 30 hours per week.
Benefits Effective Date
You are eligible to enroll in beneits from your date of hire through your
59th day of employment. You can enroll in beneits by logging into the
ADP/WFN portal by the 45th day of employment. After the 45th day, it
is your responsibility to contact HR to process your beneit enrollment by
the 59th day of employment. Beneits will be effective on your 60th day
of employment. If you do not enroll by your 59th day of employment,
you may not enroll until the next annual enrollment period unless you
have a qualiied life status change as noted on page 3.
Eligible Dependents
You may enroll your legal spouse and dependent children to age 26
regardless of student or marital status, inancial dependency. If your legal
spouse is employed outside the home and is eligible for coverage with
their employer, they should enroll in that coverage. Dependent children
include your natural, legally adopted, step, and/or foster children as well
as children for whom you are the legal guardian.
SSN, Birth, and Marriage Certificate Required
You must provide a valid Social Security Number for yourself and each
enrolled dependent. Employers are required to provide names and
Social Security Numbers to the federal government for each individual
enrolled in medical coverage. This reporting requirement helps the federal
government verify compliance with the Health Care Reform Individual
Mandate.
Birth certiicates/orders of adoption are required for all enrolled
dependents.
If you are enrolling a spouse, a marriage certiicate is required.
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Beneits Eligibility
Eligible Employees
You may enroll in the beneits program if you are a regular full-time
employee who is actively working a minimum of 30 hours per week.
Benefits Effective Date
You are eligible to enroll in beneits from your date of hire through your
59th day of employment. You can enroll in beneits by logging into the
ADP/WFN portal by the 45th day of employment. After the 45th day, it
is your responsibility to contact HR to process your beneit enrollment by
the 59th day of employment. Beneits will be effective on your 60th day
of employment. If you do not enroll by your 59th day of employment,
you may not enroll until the next annual enrollment period unless you
have a qualiied life status change as noted on page 3.
Eligible Dependents
You may enroll your legal spouse and dependent children to age 26
regardless of student or marital status, inancial dependency. If your legal
spouse is employed outside the home and is eligible for coverage with
their employer, they should enroll in that coverage. Dependent children
include your natural, legally adopted, step, and/or foster children as well
as children for whom you are the legal guardian.
SSN, Birth, and Marriage Certificate Required
You must provide a valid Social Security Number for yourself and each
enrolled dependent. Employers are required to provide names and
Social Security Numbers to the federal government for each individual
enrolled in medical coverage. This reporting requirement helps the federal
government verify compliance with the Health Care Reform Individual
Mandate.
Birth certiicates/orders of adoption are required for all enrolled
dependents.
If you are enrolling a spouse, a marriage certiicate is required.
4
