Page 3 - 2016 Enrollment
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Eligibility Nortek Offers Four Levels
Regular full-time employees as well as part-time, seasonal, temporary and of Coverage
other variable hour employees averaging 30 or more hours per week over Employee only
a deined measurement period are eligible for coverage in our beneits Employee plus spouse*
program. Employee plus child or
children
Dependent coverage extends to legally married spouses and dependent
children. Dependent children include your natural child, stepchild, legally Employee plus family
adopted child, child placed for adoption, or a child for whom your or your * Eligibility is restricted to legal spouses
only.
spouse are legal responsible.
Coverage for dependent children continues until the end of the calendar Dependents Social
year in which your child turns 26 years of age. Unmarried children may Security Number
be eligible for continued coverage beyond that age if they cannot support Employers are required to provide
themselves due a mental or physical disability. In such a case, additional names and Social Security Numbers
documentation is required. to the federal government for each
individual enrolled for medical
You will be required to provide evidence all dependents enrolled in the coverage. This reporting requirement
helps the federal government verify
health plan are eligible for coverage (e.g., marriage/birth certiicate, compliance with the Health Care
current tax iling, etc.) Reform Individual Mandate.
If your dependent(s) has a SSN,
Key Medical Benefit Features please provide their SSN during
Our health plan administrator is UnitedHealthcare and the medical enrollment. If your dependent(s) does
plans are based on United’s Choice Plus Network not have a SSN, you can still enroll
them for medical coverage; however,
Both plans are “account-based” plans which help you better manage you will need to sign a form with
your healthcare costs and needs UnitedHealthcare called the SSN
Refusal Letter explaining why you are
The plans recognize and reward healthy lifestyles; in-network unable to provide SSN information for
preventive care is covered at 100 percent and you can earn company your enrolled dependent(s). Contact
paid dollars toward your beneit coverage HR Connect for more information.
When you participate in the wellness program in 2016, you are eligible
to receive a contribution toward your HRA or HSA account from
Nortek; if you have individual coverage you can earn up to $700
and if you have family coverage you and your spouse can earn up to
$1,400
We partner with Vitality to help us better reward and empower your
positive lifestyle changes
2016 New Hire Enrollment
Eligibility Nortek Offers Four Levels
Regular full-time employees as well as part-time, seasonal, temporary and of Coverage
other variable hour employees averaging 30 or more hours per week over Employee only
a deined measurement period are eligible for coverage in our beneits Employee plus spouse*
program. Employee plus child or
children
Dependent coverage extends to legally married spouses and dependent
children. Dependent children include your natural child, stepchild, legally Employee plus family
adopted child, child placed for adoption, or a child for whom your or your * Eligibility is restricted to legal spouses
only.
spouse are legal responsible.
Coverage for dependent children continues until the end of the calendar Dependents Social
year in which your child turns 26 years of age. Unmarried children may Security Number
be eligible for continued coverage beyond that age if they cannot support Employers are required to provide
themselves due a mental or physical disability. In such a case, additional names and Social Security Numbers
documentation is required. to the federal government for each
individual enrolled for medical
You will be required to provide evidence all dependents enrolled in the coverage. This reporting requirement
helps the federal government verify
health plan are eligible for coverage (e.g., marriage/birth certiicate, compliance with the Health Care
current tax iling, etc.) Reform Individual Mandate.
If your dependent(s) has a SSN,
Key Medical Benefit Features please provide their SSN during
Our health plan administrator is UnitedHealthcare and the medical enrollment. If your dependent(s) does
plans are based on United’s Choice Plus Network not have a SSN, you can still enroll
them for medical coverage; however,
Both plans are “account-based” plans which help you better manage you will need to sign a form with
your healthcare costs and needs UnitedHealthcare called the SSN
Refusal Letter explaining why you are
The plans recognize and reward healthy lifestyles; in-network unable to provide SSN information for
preventive care is covered at 100 percent and you can earn company your enrolled dependent(s). Contact
paid dollars toward your beneit coverage HR Connect for more information.
When you participate in the wellness program in 2016, you are eligible
to receive a contribution toward your HRA or HSA account from
Nortek; if you have individual coverage you can earn up to $700
and if you have family coverage you and your spouse can earn up to
$1,400
We partner with Vitality to help us better reward and empower your
positive lifestyle changes
2016 New Hire Enrollment
