Page 7 - 2015 Four Seasons Non-Medical Enrollment Guide
P. 7
2015 Open Enrollment
Eligibility
Eligible Dependents
You must enroll in beneits in order to enroll your eligible dependents. Also,
your dependents must be enrolled in the same plans you elect. New enrollees
must provide proof of dependent eligibility (e.g., marriage certiicate, birth
certiicate) in order to have coverage.
For purposes of the healthcare plans, your eligible dependents include:
z Your legal spouse (opposite and z Your adopted children or children
same sex) or domestic partner placed with you for adoption
z Your eligible children who are z Your stepchildren
under age 26 z Your eligible foster children (1)
Eligible children include: z Children of your domestic
partner
z Your natural children
z Children for whom you are the
legal guardian (2)
(1) An eligible foster child is a child placed in your home by an authorized agency or court
order.
(2) You are a legal guardian for a child who lives with you, for whom you are inancially
obligated to support and for whom you are authorized to make major life decisions, as
established by applicable state law.
Domestic Partner Coverage
A domestic partner is a person of the same or opposite sex with whom you You must complete an afidavit
have a long-term relationship and live (for the six-month period immediately of domestic partnership before
prior to enrolling for beneits), and who is: coverage is approved. Please log on
to the My Four Seasons Beneits
z Over age 18 z Base Vision Plan or Vision Care Center for a complete deinition of
z Unmarried Buy-up “domestic partner”.
z Mentally competent z Dental Plan
z Unrelated to you z Dependent and Optional Life
Insurance
z Your only domestic partner
z Voluntary Group Accident
Domestic partners are eligible for: (AD&D) Insurance
z Medical Plan z Employee Assistance Program
7
Eligibility
Eligible Dependents
You must enroll in beneits in order to enroll your eligible dependents. Also,
your dependents must be enrolled in the same plans you elect. New enrollees
must provide proof of dependent eligibility (e.g., marriage certiicate, birth
certiicate) in order to have coverage.
For purposes of the healthcare plans, your eligible dependents include:
z Your legal spouse (opposite and z Your adopted children or children
same sex) or domestic partner placed with you for adoption
z Your eligible children who are z Your stepchildren
under age 26 z Your eligible foster children (1)
Eligible children include: z Children of your domestic
partner
z Your natural children
z Children for whom you are the
legal guardian (2)
(1) An eligible foster child is a child placed in your home by an authorized agency or court
order.
(2) You are a legal guardian for a child who lives with you, for whom you are inancially
obligated to support and for whom you are authorized to make major life decisions, as
established by applicable state law.
Domestic Partner Coverage
A domestic partner is a person of the same or opposite sex with whom you You must complete an afidavit
have a long-term relationship and live (for the six-month period immediately of domestic partnership before
prior to enrolling for beneits), and who is: coverage is approved. Please log on
to the My Four Seasons Beneits
z Over age 18 z Base Vision Plan or Vision Care Center for a complete deinition of
z Unmarried Buy-up “domestic partner”.
z Mentally competent z Dental Plan
z Unrelated to you z Dependent and Optional Life
Insurance
z Your only domestic partner
z Voluntary Group Accident
Domestic partners are eligible for: (AD&D) Insurance
z Medical Plan z Employee Assistance Program
7
