Page 4 - 2022 Drive Open Enrollment Guide - Non Union

Eligibility

You are eligible for the benefits program if you are a full- Changes to your benefits
time regular team member working 30 hours or more per Generally, you may change your benefit
week. elections only during the annual enrollment period.
However, you may change your benefit elections during the
Benefits are effective on the following dates: year if you experience a qualified life event.
• Non-Exempt Employees: First of the month following
60 days Qualified Life Events
• Exempt Employees: Date of Hire • Marriage
• Divorce or legal separation
New hires must enroll within 30 days of hire.
• Birth of your child
You may enroll your eligible dependents for coverage once • Death of your spouse, domestic partner, or dependent
you are eligible. child
• Adoption of or placement for adoption of your child
• Change in employment status of employee,
Your eligible dependents include:
spouse/domestic partner or dependent child
• Your legal spouse*
• Qualification by the Plan Administrator of a child support
• Your domestic partner*
order for medical coverage
• Your children up to age 26**
• Entitlement to Medicare or Medicaid
Once your benefit elections become effective, they remain You must notify Drive DeVilbiss Healthcare Human
in effect until the end of the year. You may only change Resources within 30 days of the qualified life event.
coverage within 30 days of a qualified life event.
Depending on the type of event, you may be asked to provide
proof of the event. If you do not contact Drive DeVilbiss
*Documentation is required, see your local HR
Healthcare within 30 days of the qualified event, you will have
representative. For dependents, you may need to provide
to wait until the next annual enrollment period to make
dependent verification such as a marriage license and/or a
changes (unless you experience another qualified life event).
birth certificate.
**Dependent coverage for all benefits ends on the last day
of the month that the dependent turns 26 regardless of
student status except for Voluntary Child Life which ends
at age 29.

When an employee is terminated, medical, dental & vision 4
coverage will be terminated at the end of the month. All
other coverages will end on day of termination.