Page 6 - ABM 2021 Benefit Guide EDU
P. 6
ELIGIBILITY
Eligibility
Beneits will become efective the irst of the SSN Required for Enrolled Dependents
month following 60 days of employment. In order to comply with the Afordable Care
Please review the deinition of an eligible Act (also known as healthcare reform) and
dependent below and only enroll those who regulations from the Centers for Medicare and
qualify. You will need the Social Security Medicaid Services (CMS), ABM is required
number and date of birth for all dependents that to collect the Social Security number (SSN)
you enroll, as all dependents enrolled in ABM’s for all dependents enrolled in a company-
beneit plans will be audited. sponsored group health plan. Having a valid
SSN for all enrolled dependents will also help
Type of Dependent Eligibility Requirements ensure dependent medical claims are properly
Spouse Must be legally married to the team processed in a timely manner. The collection
member and use of SSNs is limited by federal and
Domestic Partner A person of the opposite or same sex
with whom the team member has state laws and regulations. When an SSN is
established a domestic partnership used for protected health information (PHI),
Biological Child Under age 26 HIPAA privacy rules dictate who can collect
Adopted/Foster Child Under age 26
Step-Child Under age 26 the information, how it can be used, and with
Child Covered Under Order must be a Qualiied Medical whom it can be shared. With these rules,
a Qualiied Medical Child Support Order (QMCSO) collection of SSNs for reporting to the IRS and
Child Support Order
(QMCSO) CMS are considered a required, legitimate, and
Disabled Child Age 26 Must be (i) incapable of self- necessary use of the SSN under federal law.
or Older sustaining employment because of
physical disability, mental or cognitive
disability, mental illness, or mental
health disorder, (ii) dependent on
the team member for a majority of
inancial support and maintenance,
(iii) live with you for more than half the
year, and (iv) covered under the plan
before age 26.
6 2021 Benefits Enrollment
Eligibility
Beneits will become efective the irst of the SSN Required for Enrolled Dependents
month following 60 days of employment. In order to comply with the Afordable Care
Please review the deinition of an eligible Act (also known as healthcare reform) and
dependent below and only enroll those who regulations from the Centers for Medicare and
qualify. You will need the Social Security Medicaid Services (CMS), ABM is required
number and date of birth for all dependents that to collect the Social Security number (SSN)
you enroll, as all dependents enrolled in ABM’s for all dependents enrolled in a company-
beneit plans will be audited. sponsored group health plan. Having a valid
SSN for all enrolled dependents will also help
Type of Dependent Eligibility Requirements ensure dependent medical claims are properly
Spouse Must be legally married to the team processed in a timely manner. The collection
member and use of SSNs is limited by federal and
Domestic Partner A person of the opposite or same sex
with whom the team member has state laws and regulations. When an SSN is
established a domestic partnership used for protected health information (PHI),
Biological Child Under age 26 HIPAA privacy rules dictate who can collect
Adopted/Foster Child Under age 26
Step-Child Under age 26 the information, how it can be used, and with
Child Covered Under Order must be a Qualiied Medical whom it can be shared. With these rules,
a Qualiied Medical Child Support Order (QMCSO) collection of SSNs for reporting to the IRS and
Child Support Order
(QMCSO) CMS are considered a required, legitimate, and
Disabled Child Age 26 Must be (i) incapable of self- necessary use of the SSN under federal law.
or Older sustaining employment because of
physical disability, mental or cognitive
disability, mental illness, or mental
health disorder, (ii) dependent on
the team member for a majority of
inancial support and maintenance,
(iii) live with you for more than half the
year, and (iv) covered under the plan
before age 26.
6 2021 Benefits Enrollment
