Page 4 - 2016 Open Enrollment
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Enrollment and Eligibility



Enrollment and Qualifying life status events
Eligibility A qualifying event is a change in your personal life, which may impact

It’s time to make some important your eligibility or dependent’s eligibility for beneits.

decisions about beneits for you
and your family. In this guide, Examples of some qualifying events include the following:
you have the opportunity to learn ■ Change of legal marital status (i.e., marriage, divorce, death of spouse,
about your options for 2016 and legal separation)
make selections which best meet ■ Change in number of dependents (i.e., birth, adoption, death of
your needs and the needs of your dependent, ineligibility due to age)
family members.
■ Change in employment or job status
Once elections are made, you are
only able to change your coverage Eligible associates

during the 2016 plan year if you You may enroll in the First Busey Corporation insurance plan if you are a
experience a qualiied life status regular full-time associate who is actively working a minimum of 30 hours
change. If you do experience per week.
a qualifying event, it is your
responsibility to notify Human Dependent eligibility
Resources within 30 days of the As you become eligible for beneits, so do your eligible dependents. In
event. Unfortunately, failure to general, eligible dependents include your spouse and children up to age
notify Human Resources within 26. If your child is mentally or physically disabled, coverage may continue
30 days prohibits your ability to beyond age 26 once proof of the ongoing disability is provided. Children

change your beneit election(s). may include natural, adopted, and step-children, as well as children
obtained through court-appointed legal guardianship.


Please note: Associates who are enrolling dependents will be required to
sign an afidavit which veriies dependent eligibility.





This year, all Busey associates (even those electing to decline coverage) will be
required to meet one-on-one with a beneit counselor during open enrollment.
During your session, the beneit counselor will review the 2016 options with you
and walk you step-by-step through your 2016 enrollment. New hire enrollment
sessions with a beneit counselor will be done via telephone.

To sign up for a session, go to www.Busey2016enrollment.com.



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