Page 2 - 2016 Enrollment
P. 2
Open Enrollment
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
Benefit Offerings for plan year.
2016
Medical Please read this guide to learn more about your beneits.
Dental Eligibility
Vision You are eligible for beneits if you are a regular, full-time employee,
Life and Accidental Death & and work at least 30 hours per week. Your dependents who are
Dismemberment eligible for beneits are:
Short Term Disability Your legal spouse
Long Term Disability Your children or legal guardianship dependents who are:
Voluntary Accident Up to age 26, regardless of student or marital status
Voluntary Critical Illness Permanently and totally disabled (if disability occurred prior
to age 26, as described above)
Dependent Care FSA
The company has a responsibility to ensure employees’ medical
Employee Assistance Program (EAP)
dollars are spent appropriately. Therefore, please ensure the
Detailed information on each additional individuals you enroll are in fact eligible for coverage.
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
Benefit Offerings for plan year.
2016
Medical Please read this guide to learn more about your beneits.
Dental Eligibility
Vision You are eligible for beneits if you are a regular, full-time employee,
Life and Accidental Death & and work at least 30 hours per week. Your dependents who are
Dismemberment eligible for beneits are:
Short Term Disability Your legal spouse
Long Term Disability Your children or legal guardianship dependents who are:
Voluntary Accident Up to age 26, regardless of student or marital status
Voluntary Critical Illness Permanently and totally disabled (if disability occurred prior
to age 26, as described above)
Dependent Care FSA
The company has a responsibility to ensure employees’ medical
Employee Assistance Program (EAP)
dollars are spent appropriately. Therefore, please ensure the
Detailed information on each additional individuals you enroll are in fact eligible for coverage.
beneit is provided in this Guide under
separate headings.
2
