Page 4 - 2016 Enrollment
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How to Enroll with Annual Enrollment
UltiPro
1. Visit the UltiPro homepage With few exceptions, annual enrollment is the only time of year when you
for additional information and can make changes to your beneits coverage. All elections and changes
resources regarding your plan take effect January 1, 2016.
options.
2. If you are happy with your During annual enrollment you have the opportunity to:
current elections, no action is
needed. With the exception of Add, change, or delete coverage
the lexible spending accounts Add or drop dependents from coverage
(FSA) your current plan elections
will roll over automatically. Enroll or re-enroll in the healthcare or dependent care lexible
spending accounts
3. If you are enrolling in a
healthcare or dependent care
FSA be sure to complete a new Qualifying Events
FSA election form, available to When You are Allowed to Make Mid-Year Changes
you on the UltiPro home page.
A qualifying event is a change in your personal life which may impact your
4. Follow the UltiPro online
enrollment instructions provided eligibility or dependent’s eligibility for beneits.
if you are making changes to
your beneit coverage elections. Examples of some qualifying events include:
Change of legal marital status (e.g., marriage, divorce, death of
spouse, legal separation)
Change in number of dependents (e.g., birth, adoption, death of
dependent, ineligibility due to age)
Change in employment or job status
It is your responsibility to notify Human Resources within 30 days of the
event. Failure to notify Human Resources within 30 days will prohibit
your ability to change your beneits election(s) during the plan year.
Shape Technologies Group
How to Enroll with Annual Enrollment
UltiPro
1. Visit the UltiPro homepage With few exceptions, annual enrollment is the only time of year when you
for additional information and can make changes to your beneits coverage. All elections and changes
resources regarding your plan take effect January 1, 2016.
options.
2. If you are happy with your During annual enrollment you have the opportunity to:
current elections, no action is
needed. With the exception of Add, change, or delete coverage
the lexible spending accounts Add or drop dependents from coverage
(FSA) your current plan elections
will roll over automatically. Enroll or re-enroll in the healthcare or dependent care lexible
spending accounts
3. If you are enrolling in a
healthcare or dependent care
FSA be sure to complete a new Qualifying Events
FSA election form, available to When You are Allowed to Make Mid-Year Changes
you on the UltiPro home page.
A qualifying event is a change in your personal life which may impact your
4. Follow the UltiPro online
enrollment instructions provided eligibility or dependent’s eligibility for beneits.
if you are making changes to
your beneit coverage elections. Examples of some qualifying events include:
Change of legal marital status (e.g., marriage, divorce, death of
spouse, legal separation)
Change in number of dependents (e.g., birth, adoption, death of
dependent, ineligibility due to age)
Change in employment or job status
It is your responsibility to notify Human Resources within 30 days of the
event. Failure to notify Human Resources within 30 days will prohibit
your ability to change your beneits election(s) during the plan year.
Shape Technologies Group
