Page 5 - Enrollment Guide Non Core

MotoMart

Eligibility

Please review the deinition of an eligible dependent below and only
enroll those who qualify.

Type of Dependent Eligibility Requirements
Spouse „ Must be legally married to the employee
Biological child „ Under age 26
Adopted/foster child „ Under age 26
Step-child „ Under age 26
Child covered under a „ Order must be a qualiied medical child support
qualiied medical child order (QMCSO)
support order (QMCSO)
Handicapped child age „ Must be incapable of self-sustaining
26 or older employment because of physical handicap,
mental retardation, mental illness, or mental
health disorder
„ Must be dependent on the employee for a
majority of inancial support and maintenance
and lives with you for more than half the year
„ Must be covered under the Plan before age 26

Premiums

You pay your premiums for medical pre-tax, which is automatically
deducted from your paycheck weekly (52 pay periods).

Obtaining Supplemental Information

To obtain supplemental information regarding the plans available to
you, log on to fkgoil.locktonmarketplace.com. If you need technical
assistance please call 844.806.3516.

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