Page 5 - Adreima Enrollment Guide
P. 5
Adreima
Eligibility
Making Changes (Qualifying Life Events)
The Internal Revenue Service (IRS) regulations provide that eligible
team members may only make elections to the plan once a year. Your
choices are binding through December 31, 2016. You may not make
changes to your election until the next open enrollment period.
The following special circumstances are the ONLY reasons you may
change your beneits during the year:
Marriage
Birth, adoption, or placement of a child for adoption
Divorce or legal separation
Termination or commencement of your spouse’s coverage in
general when coverage is maintained through the spouse’s plan
Shift from part-time to full-time status (or vice-versa) by you or
your spouse
Shift from PRN to part-time or full-time status (30 hours or more
per week) or vice versa by you or your spouse
Death of spouse or dependent
Taking an unpaid leave of absence (you or your spouse)
A residence or worksite change that impacts healthcare coverage
These special circumstances, often referred to as life event changes,
will allow you to make plan changes at any time during the year
in which they occur. For any allowable changes, you must inform
Human Resources within 31 calendar days of the event to avoid a
lapse in coverage. Changes that are requested due to a “change of
mind” cannot be allowed until the next open enrollment period.
The 31 calendar day deadline is a critical factor towards successfully
completing a life event change. If you do not notify Human
Resources of the event and provide requested documentation
within 31 calendar days of the event, you will not be eligible to make
changes until the next annual open enrollment period.
5
Eligibility
Making Changes (Qualifying Life Events)
The Internal Revenue Service (IRS) regulations provide that eligible
team members may only make elections to the plan once a year. Your
choices are binding through December 31, 2016. You may not make
changes to your election until the next open enrollment period.
The following special circumstances are the ONLY reasons you may
change your beneits during the year:
Marriage
Birth, adoption, or placement of a child for adoption
Divorce or legal separation
Termination or commencement of your spouse’s coverage in
general when coverage is maintained through the spouse’s plan
Shift from part-time to full-time status (or vice-versa) by you or
your spouse
Shift from PRN to part-time or full-time status (30 hours or more
per week) or vice versa by you or your spouse
Death of spouse or dependent
Taking an unpaid leave of absence (you or your spouse)
A residence or worksite change that impacts healthcare coverage
These special circumstances, often referred to as life event changes,
will allow you to make plan changes at any time during the year
in which they occur. For any allowable changes, you must inform
Human Resources within 31 calendar days of the event to avoid a
lapse in coverage. Changes that are requested due to a “change of
mind” cannot be allowed until the next open enrollment period.
The 31 calendar day deadline is a critical factor towards successfully
completing a life event change. If you do not notify Human
Resources of the event and provide requested documentation
within 31 calendar days of the event, you will not be eligible to make
changes until the next annual open enrollment period.
5
