Page 3 - 2016 Open Enrollment
P. 3
Eligibility and Enrollment
If you are hired as a full-time employee working 30 or more hours per week, then
you are eligible for beneits the irst day of the month following your date of hire.
If you are hired as a part-time, variable-hour, or seasonal employee and are expected
to work less than 30 hours per week, then your hours will be considered over a
12-month measurement period. At the end of the 12-month measurement period,
if it is determined you have worked an average of 30 hours per week, then you will
be offered beneits for the following 12-month period, deemed the
stability period.
You may enroll your eligible dependents for coverage once you are
eligible. Your eligible dependents include the following.
X Your legal spouse, or domestic partner
X Your children up to age 26
If you do not enroll for insurance within your irst 30 days of
employment with F+W you will need to wait for the next open
enrollment. Once your beneit elections become effective, they remain
in effect until the end of the year. You may only change coverage
within 30 days of a qualiied life event.
Qualified Life Events
Generally, you may change your beneit elections only during the annual enrollment
period. However, you may change your beneit elections during the year if you
experience a qualiied life event, including any of the following.
X Marriage
X Divorce or legal separation
X Birth of your child
X Death of your spouse or dependent child
X Adoption of or placement for adoption of your child
X Change in employment status of employee, spouse, or dependent child
X Qualiication by the Plan Administrator of a child support order for medical
coverage
X Entitlement to Medicare or Medicaid
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If you are hired as a full-time employee working 30 or more hours per week, then
you are eligible for beneits the irst day of the month following your date of hire.
If you are hired as a part-time, variable-hour, or seasonal employee and are expected
to work less than 30 hours per week, then your hours will be considered over a
12-month measurement period. At the end of the 12-month measurement period,
if it is determined you have worked an average of 30 hours per week, then you will
be offered beneits for the following 12-month period, deemed the
stability period.
You may enroll your eligible dependents for coverage once you are
eligible. Your eligible dependents include the following.
X Your legal spouse, or domestic partner
X Your children up to age 26
If you do not enroll for insurance within your irst 30 days of
employment with F+W you will need to wait for the next open
enrollment. Once your beneit elections become effective, they remain
in effect until the end of the year. You may only change coverage
within 30 days of a qualiied life event.
Qualified Life Events
Generally, you may change your beneit elections only during the annual enrollment
period. However, you may change your beneit elections during the year if you
experience a qualiied life event, including any of the following.
X Marriage
X Divorce or legal separation
X Birth of your child
X Death of your spouse or dependent child
X Adoption of or placement for adoption of your child
X Change in employment status of employee, spouse, or dependent child
X Qualiication by the Plan Administrator of a child support order for medical
coverage
X Entitlement to Medicare or Medicaid
3