Page 3 - 2016 Enrollment
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Orrington Hotel Manager, LLC









Eligibility and Enrollment



If you are hired as a full-time employee working an average of at Qualified Life Events

least 30 or more hours per week, then you are eligible for beneits The beneits you elect are binding for
the irst day of the month following 60 days. the entire calendar year, unless you

If you are hired as a part-time, variable-hour, or seasonal employee experience a qualiied life event, such as

and are expected to work less than 30 hours per week, then your the following.
hours will be considered over a 6-month measurement period. At „ Marriage
the end of the 6-month measurement period, if it is determined „ Divorce or legal separation
you have worked an average of 30 hours per week, then you will
be offered beneits for the following 6-month period, deemed the „ Birth of your child
stability period. „ Death of your spouse or dependent
child
You may enroll your eligible dependents for coverage once you are „ Adoption of or placement for
eligible. Your eligible dependents include the following. adoption of your child


„ Your legal spouse „ Change in employment status of
„ Your children up to age 26, including a natural child, stepchild, employee, spouse, or dependent child
legally adopted child, or child for whom legal guardianship „ Qualiication by the plan
has been awarded to you or your spouse, unless the following administrator of a child support

conditions apply order for medical coverage
ˆ If your child is a resident of Ohio, they can be covered, „ Entitlement to Medicare or Medicaid
upon request, to age 28 regardless of full-time student
status, unless eligible for Medicare, Medicaid, or eligible for You must notify Human Resources

beneits at his/her place of employment; or within 31 days of the qualiied life event.

ˆ If your child is not a resident of Ohio, they can be Depending on the type of event, you
may be asked to provide proof of the
covered, upon request, to age 28 if they are a full-time event. If you do not contact Human
student at an accredited public or private institution of Resources within 31 days of the qualiied
higher education, unless eligible for Medicare, Medicaid, or event, you will have to wait until the
eligible for beneits at his/her place of employment next annual enrollment period to make

If you do not enroll for insurance within your irst 31 days of changes (unless you experience another
becoming eligible for beneits with Orrington Hotel Manager, qualiied life event).
LLC 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 31 days
of a qualiied life event. 3
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