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Intertek U.S.A.






Beneits Enrollment




Benefits Enrollment Qualifying Events

Intertek offers regular full-time and regular part-time employees a A qualifying event is a change in your
comprehensive beneits package. Review the plan highlights carefully and personal life that may impact your
choose the option that best meets your personal and family needs. Please eligibility or dependent’s eligibility for
note this is a summary of beneits and does not provide all the details beneits.
about the two plans that are offered. A copy of the oficial plan document
may be found on the Employee Services Portal (http://adp.portal.com) Examples of some qualifying events
under the Intertek Resource Library link. include:

X Change of legal marital status (i.e.,
Please note you will not be able to change your 2015 beneit elections mid-
year unless you have a qualiied family status change. marriage, divorce, death of spouse)
X Change in number of dependents
During this enrollment you have the opportunity to: (i.e., birth, adoption, death of
dependent, ineligibility due to age)
X Add coverage for yourself X Change in employment or job status

X Add dependents to coverage
Z Any new dependents will be subject to an audit for coverage to It is your responsibility to contact
remain in place; you will receive a letter from our auditors with the the Employee Service center at
appropriate documentation and deadline to provide 1-866-213-8919 within 30 days of the
X Enroll for a Flexible Spending Accounts (FSA) election qualifying life event. Failure to notify
the Employee Service Center within 30
X Open and elect participation in our Health Savings Account (HSA) days will prohibit your ability to change
program your beneits election(s).

Z You must elect the CDHP (Consumer Driven Health Plan) to be
eligible




























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