Page 4 - Texas Rangers 2022 Front Office Flipbook

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 within 30 days. Spouse: Your legally married husband or 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.
Plan A to Plan B) A child is automatically terminated from medical,
dental, vision and life insurance coverages the last day
All payroll deductions/refunds due resulting from plan 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 Documents Required Due

Dependents for Enrollment Date
Spouse Marriage License 30 Days
*Child/Stepchild Birth Certificate 30 Days

Adoption Documents & Birth
*Adopted Child 30 Days
Certificate
Placement Documents & Birth
*Child Placed for Adoption 30 Days
Certificate
Notification from State Attorney
*Qualified Medial Support Order As directed by AG’s notice
General
Child age 26 or over incapable
of self-sustaining employment
due to a mental or physical Attending Physician Statement 30 Days
disability
*Dependents must be less than 26 years old
Note:
Enrolling someone who is not qualified as a dependent is considered insurance fraud.

2022 Rangers Baseball LLC (the Texas Rangers) Benefit Guide Page 4