Page 5 - CPSS Benefit Guide Class 3 Employee

Enrolling in Your Benefits

New Hire Qualifying Life Events
You are eligible for certain benefits on the first of the Contact Human Resources within 30 days of a
month following your date of hire and some benefits qualifying life event.
after 60 days so carefully review the table below.
Did you have any changes in benefits or your family?
What should you know? • Marriage or Divorce
• Elections made now will remain until the next open • Birth or Adoption of child
enrollment • You and/or your dependents become eligible or
• You may elect to participate or waive benefits that lose coverage with another group health plan
are offered to you • Spouse’s Open Enrollment
• Change in work status (part-time to full-time)
• Eligibility for Medicare or Medicaid
Benefit Eligibility

Medical, Pharmacy and First Stop First of the month Depending on the type of event, you may need to
Health following 60 days of provide proof of the event, such as a marriage license. If
employment you do not make the changes within 30 days of the
Dental qualified event, you will have to wait until the next open
First of the month
Vision following date of hire enrollment period to make changes (unless you
experience another qualified life event).
Health Savings Account First of the month
following 60 days of Open Enrollment
employment
Basic Life and Accidental Death & This year open enrollment is not passive. You will
Dismemberment (AD&D) need to take action in Paycom to enroll in your
Insurance benefits.
Voluntary Life and AD&D Insurance • Enroll in benefits between December 6th –
December 19th
Short-Term Disability First of the month • Benefits begin on February 1st, 2022
following date of hire
Long-Term Disability
Accident Insurance Enrolling in Your Benefits

Critical Illness Insurance
Paycom Employee Login
401(k) Retirement Savings Plan First of the month
following 30 days of
employment
Register or log in

Begin the benefits
enrollment process

Elect the benefits
you want

Save or submit
your elections

Print a copy of your
elections for your records
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