Page 4 - 2016 ACProducts Non-Union
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2016 Beneits Guide




Eligibility If you are adding a new dependent during annual enrollment, you

You are eligible for beneits if you are a must supply the required documentation verifying each of your

full-time employee or an employee who eligible dependents by November 18, 2015 or your dependent will
works on average 30 or more hours per not be added.
week over the deined measurement Required document for each child includes a copy of his/her birth
period. Coverage for eligible employees certiicate and required documentation for a spouse includes a copy
begins on their date of hire. of a marriage certiicate AND proof of current marital status.


Eligible dependents include: Any one of the following documents is acceptable to prove current

„ Your legal spouse marital status:

„ Your children or legal guardianship „ Proof of joint debt/ownership dated within the past 90 days
dependents who are (must have employee spouse name) such as

ˆ Under age 26, regardless of ˆ Joint checking or savings account
student or marital status ˆ Mortgage payment or lease agreement

ˆ Permanently and totally ˆ Homeowner’s insurance bill
disabled (if disability occurred
prior to age 26, as described ˆ Property tax bill (home or auto)
above) ˆ Car payment or insurance bill

It is very important we monitor and ˆ Loan payment
ensure the individuals covered under „ Front page of your latest annual Federal Tax Return
our beneit plans are in fact eligible
for coverage. Covering ineligible

dependents increases the cost to
ACPI and all eligible employees. The
company has a responsibility to ensure
employees’ medical dollars are spent
appropriately.























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