Page 2 - 2016 Enrollment

Open Enrollment
Benefit Offerings for
2016
„ Medical
„ Dental
„ Vision
„ Life and accidental death &
dismemberment
„ Short term disability
„ Long term disability
„ Voluntary accident
„ Voluntary critical illness
„ Dependent care lexible spending
account
„ Employee assistance program
Detailed information on each additional
beneit is provided in this Guide under
separate headings.
2
Eligibility
Annual Open Enrollment
It is time for your annual beneits enrollment for the 2016 plan year.
Open enrollment kicks off on Monday, November 16, 2015 and ends
on Wednesday, November 25, 2015.
Please note you will not be able to make changes to your coverage
again until the next annual enrollment unless you have a qualiied
change in status.
All enrollment forms must be completed and returned to Human
Resources by November 25, 2015 to ensure coverage for the 2016
plan year.
Please read this guide to learn more about your beneits.
Eligibility
You are eligible for beneits if you are a regular, full-time employee,
and work at least 30 hours per week. Your dependents who are
eligible for beneits are:
„ Your legal spouse
„ Your children or legal guardianship dependents who are:
ˆ Up to age 26, regardless of student or marital status
ˆ Permanently and totally disabled (if disability occurred prior
to age 26, as described above)
The company has a responsibility to ensure employees’ medical
dollars are spent appropriately. Therefore, please ensure the
individuals you enroll are in fact eligible for coverage.