Page 3 - 2018 Roquette Benefit Guide
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Roquette America Inc.
Eligibility
Benefit Basics
All full-time employees working a minimum of 30 hours per week are Remember, you may only make
eligible to participate in the Roquette beneit program. enrollment changes during the year
if you have a life change event.
Coverage is effective the irst of the month following or coincident with To make a qualiied change, you
your date of hire. Long Term Disability beneits are effective the irst of must submit the change in UltiPro
the month following 3 months of employment. (https://ew31.Ultipro.com) and
send documentation to your
Dependent Eligibility beneits team within 60 days of
Eligible* dependents include the following. the date of the life change event.
Failure to act within 60 days will
X Your legal spouse result in the loss of opportunity to
X Dependent children to age 26 including natural or adopted children, make changes until the next annual
stepchildren, children for whom you are the legal guardian, and enrollment period.
children under qualiied medical support order
X Unmarried full-time students under age 27 enrolled in an accredited Documentation is required for
educational institution mid-year beneit changes (e.g.,
birth certiicate, marriage license,
X Unmarried disabled children over age 26 divorce paperwork, adoption
* Proof of dependent status may be required certiicate, etc.). Submit your
documentation to the Beneits
Mid-Year Benefit Changes Department.
Enrollment changes are restricted to annual enrollment unless you
experience an IRS approved change in family status, which include the
following.
X The addition of a dependent through birth, adoption, or marriage
X The loss of a dependent through divorce or death, or if your child
reaches the maximum age limit for coverage
X A change in you or your spouse’s employment status or loss of
employment
X A change in your spouse’s employer-provided coverage
X A change of location
3
Eligibility
Benefit Basics
All full-time employees working a minimum of 30 hours per week are Remember, you may only make
eligible to participate in the Roquette beneit program. enrollment changes during the year
if you have a life change event.
Coverage is effective the irst of the month following or coincident with To make a qualiied change, you
your date of hire. Long Term Disability beneits are effective the irst of must submit the change in UltiPro
the month following 3 months of employment. (https://ew31.Ultipro.com) and
send documentation to your
Dependent Eligibility beneits team within 60 days of
Eligible* dependents include the following. the date of the life change event.
Failure to act within 60 days will
X Your legal spouse result in the loss of opportunity to
X Dependent children to age 26 including natural or adopted children, make changes until the next annual
stepchildren, children for whom you are the legal guardian, and enrollment period.
children under qualiied medical support order
X Unmarried full-time students under age 27 enrolled in an accredited Documentation is required for
educational institution mid-year beneit changes (e.g.,
birth certiicate, marriage license,
X Unmarried disabled children over age 26 divorce paperwork, adoption
* Proof of dependent status may be required certiicate, etc.). Submit your
documentation to the Beneits
Mid-Year Benefit Changes Department.
Enrollment changes are restricted to annual enrollment unless you
experience an IRS approved change in family status, which include the
following.
X The addition of a dependent through birth, adoption, or marriage
X The loss of a dependent through divorce or death, or if your child
reaches the maximum age limit for coverage
X A change in you or your spouse’s employment status or loss of
employment
X A change in your spouse’s employer-provided coverage
X A change of location
3
