Page 4 - 2021 Miami Marlins Front Office Benefits Guide
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BENEFIT BASICS & ELIGIBILITY






        What is a Family Status Change?                            Eligible Dependents
        A family status change is a life event that may allow an   Your  dependent  must  meet  one  of  the  following
        Employee to add or drop coverage.  The change must be      definitions:
        consistent with the event and documentation must be
        provided to Human Resources within6 days.                  Spouse: (your legally married husband/wife)
                                                                   Child(ren): children to age 26 (married or unmarried)
        Family status changes are:
            •   Marriage                                           Children include: natural children, stepchildren, legally
            •   Divorce                                            adopted  children,  children  placed  for  adoption,  and
            •   Birth                                              children who you are legally appointed as guardian.
            •   Adoption
            •   Death                                              Disabled  Child:  unmarried  child  who  is  mentally  or
            •   Child reaching age 26                              physically handicapped (handicap sustained before the
            •   Child’s loss of eligibility on another plan        age of 25) and incapable of engaging in self-sustaining
            •   Spouse’s gain or loss of other coverage            employment due to such incapacity, Dependent on your
                                                                   IRS tax return.
        NOTE:  A family status change allows a plan change (i.e.
        HDHP to 90/70 PPO).                                        A child is automatically terminated from medical,
                                                                   dental, vision and life insurance coverages the last
        All payroll deductions/refunds due resulting from plan     day of the month he/she attains age 26.
        changes will be taken on the next paycheck.  Deductions
        and refunds are based on the effective date of the change.



                      Eligible                   Documentations Required                        Due

                    Dependents                         for Enrollment                          Dates
          Spouse                                      Marriage License                        60 Days
          *Child/Stepchild                             Birth Certificate                      60 Days                 30 Days
          *Adopted Child                         Adoption Documents & Birth                   60 Days
                                                         Certificate
          *Child Placed for Adoption            Placement Documents & Birth                   60 Days
                                                         Certificate
          *Qualified Medial Support Order       Notification from State Attorney   As directed by Attorney General’s
                                                          General                              Notice
          Child age 26 or over incapable of     Attending Physician Statement                 60 Days
          self-sustaining employment due to
          a mental or physical disability
                                           *Dependent must be less than 26 years old


         Note:
         Enrolling someone who is not qualified as a dependent is considered insurance fraud.

        Miami Marlins Front Office Employee Benefit Guide                                                      Page 4
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