Page 4 - 2018-19 Optimas Enrollment
P. 4
2018–19 BENEFITS ENROLLMENT
BENEFITS ELIGIBILITY
Eligible Employees
You may enroll in the benefits program if you are a regular full-time employee
who is actively working a minimum of 30 hours per week.
New Hire Benefits Effective Date
You are eligible for coverage on your first day of employment. You can enroll
in benefits from your date of hire through your 30th day of employment.
You are able to enroll by logging into the Ultipro portal. If you do not enroll
by your 30th day of employment, you may not enroll until the next annual
enrollment period unless you have a qualified life status change as noted on
the previous page.
Eligible Dependents
You may enroll your legal spouse and dependent children to age 26 regardless
of student, marital status or financial dependency. Dependent children include
natural, legally adopted, step and/or foster children, as well as children for
whom you are the legal guardian.
SSN, Birth, and Marriage Certificate Required
You must provide a valid Social Security Number for yourself and each
enrolled dependent. Employers are required to provide names and Social
Security Numbers to the federal government for each individual enrolled in
medical coverage.
Birth certificates/orders of adoption are required for all enrolled
dependents
If you are enrolling a spouse, a marriage certificate is required
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BENEFITS ELIGIBILITY
Eligible Employees
You may enroll in the benefits program if you are a regular full-time employee
who is actively working a minimum of 30 hours per week.
New Hire Benefits Effective Date
You are eligible for coverage on your first day of employment. You can enroll
in benefits from your date of hire through your 30th day of employment.
You are able to enroll by logging into the Ultipro portal. If you do not enroll
by your 30th day of employment, you may not enroll until the next annual
enrollment period unless you have a qualified life status change as noted on
the previous page.
Eligible Dependents
You may enroll your legal spouse and dependent children to age 26 regardless
of student, marital status or financial dependency. Dependent children include
natural, legally adopted, step and/or foster children, as well as children for
whom you are the legal guardian.
SSN, Birth, and Marriage Certificate Required
You must provide a valid Social Security Number for yourself and each
enrolled dependent. Employers are required to provide names and Social
Security Numbers to the federal government for each individual enrolled in
medical coverage.
Birth certificates/orders of adoption are required for all enrolled
dependents
If you are enrolling a spouse, a marriage certificate is required
4
