Page 3 - Down East Wood Ducks 2022 Benefits Guide

BENEFIT BASICS & ELIGIBILITY

At the Down East Wood Ducks, you have access to a variety of benefits to provide financial wellness for
you and your family. Please read this guide to learn more about your benefits, and make sure to enroll
within the timeframe allotted by Human Resources (the first 30 days of employment and annually
thereafter).

Eligibility Employee Eligibility
All full-time, Front Office employees are eligible for these The Down East Wood Ducks offers the opportunity
Benefit Programs. Full time employees are employees who to enroll or change benefits for the following:
work a full-time work week of 30 hours or more on a regular  New Hire or Rehire
basis.  Annual Enrollment
 Family Status Change
Part-time employees who work an average of 30 hours per  Promotion to Full Time Status
week in a 12-month period are eligible for medical
insurance, but are not eligible for any of the other Benefit You will be able to change your benefit
Programs listed in this packet. election(s) within 30 days of the event if the
change is consistent with your qualified life
Benefits for newly hired employees are effective on the event. You will be required to provide supporting
first day of the month following the month they were hired. documentation.
Example: John Brown joins the company on November
20. If elected, his benefits begin December 1st. Only Benefit Selections are required within 30 days.
exception, if hired on the 1st, benefits begin on that day.

Your 2022 benefits will take effect on January 1, 2022 and
will remain in effect until December 31, 2022. Remember
that you may only change coverage if you experience a
qualifying life event, as described below.

Social Security Card Name & Number
The Down East Wood Ducks will provide 1095-C tax forms that include the employee enrolled in any Down East Wood
Ducks medical plan annually. Employees must provide family members’ name and social security number as it appears
on their Social Security Card, if enrolled in any Down East Wood Ducks medical plan annually.

Deadline How Effective Date
Event
to Enroll to Change of Change
*New Hire, Rehire or The first of the month
Promotion to Full-time 30 Days from Hire Workday following the month you
Status Life Event were hired or promoted
Workday
Family Status Change 30 days from Event Date the change occurred
Life Event
Loss of Dependent 30 days to Cancel Workday Date the change occurred
Eligibility Life Event
Workday
*Annual Enrollment As Communicated January 1 Annually
Open Enrollment

*Employees are REQUIRED to make plan choices even when the enrollment choice is ‘No Change’

All Life Event required documents (as outlined on the next page) must be submitted via Workday before the life event
can be approved.

2022 Down East Wood Ducks Benefit Guide Page 3