Page 3 - Enrollment Guide
P. 3
3




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 Coverage Overview

beneits are: for 2016

„ Your legal spouse—you must be currently legally married to each Employee Benefit
other and eligible to ile a federal and/or state tax return jointly Offerings in 2016

„ Your children or legal guardianship dependents who are under age „ Medical—Blue Cross Blue Shield of
26 including natural children, stepchildren, legally adopted children, Tennessee
children under your legal guardianship, or children placed for „ Dental—Delta Dental of Tennessee
adoption „ Vision—EyeMed Vision Care

„ Physically or mentally disabled children of any age who are incapable „ Life and Accidental Death and
Dismemberment—Aetna
of self-support and for whom you provide more than 50 percent of
their support—proof of disability may be requested and disability „ Short Term and Long Term
Disability—Aetna
must have occurred prior to age 26
„ Flexible Spending Accounts—Blue
It is very important we monitor and ensure the individuals covered under Cross Blue Shield of Tennessee

our beneit plans are in fact eligible for coverage. Covering ineligible „ Health Savings Accounts—Health
Equity
dependents increases the cost to EnTrans and all eligible employees. The
company has a responsibility to ensure employees’ medical dollars are „ Employee Assistance Program
(EAP)—Aetna
spent appropriately. „ Voluntary Accident and Critical
Illness—Alac
At any point, EnTrans reserves the right to conduct an audit of our „ 401(k)—Mass Mutual
health plan’s eligibility.
Detailed information on each
Therefore, please review EnTrans’ deinition of an eligible dependent additional beneit is provided in this
in the section above. During an audit, you may be asked to supply guide under separate headings.
documents such as birth and marriage certiicates and legal guardianship
documentation. Any dependent determined to be ineligible or your non-
compliance with the audit will result in removal of your dependent(s)
from the EnTrans plan.















Benefit Guide 2016
   1   2   3   4   5   6   7   8