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Daniel Moon

From: Chris Kim
Sent: Wednesday, June 26, 2019 2:05 PM
To: ACI.ALL
Cc: Sooyeon Nam; 'John Park'; steve@chunha.com; 'Matthew Kim'; 'Ivy Yu';
abi.kenney@chunha.com
Subject: MEMORANDUM # 139 < Open Enrollment ( Health, Dental & Vision) Insurance
Renewal – 2019 >
Attachments: BENEFIT GUIDE 2019.pdf; Medical, Dental & Vision Enrollment Form.pdf; Open
Enrollment Overview and Summary.doc; Signed Waiver Form.pdf

To: ACI ALL
< Open Enrollment ( Health, Dental & Vision) Insurance Renewal – 2019 >

The Annual Health Insurance Open Enrollment (2019) has just begun!
This is the Open Enrollment Period to add Yourself or Family Members for this year.

 Open enrollment forms are due to Chris Kim, HR no later than [07/05/2019].
 It is same Medical Plan but some benefit modifications in HMO Gold Plan (30).

New enrollments and changes will take effect August 1, 2019.
Please note that if you do not enroll this time, you may not be able to enroll until July 2020 unless you have a
qualifying event. (see NOTE below)
If you decline the company insurance benefit, it is required to submit the attached signed Waiver form (Medical,
Dental & Vision Enrollment Form-Page 3: E. Waiver of Coverage)

YOUR RESPONSIBILITIES DURING OPEN ENROLLMENT
If you don’t want to make any changes to your current benefit elections, and you do not participate in the
enrollment, you don’t need to take any action. All of your current benefit elections will automatically carry over
and remain effective for 2019.

If you want to make any changes to your current benefit elections, you will need to complete attached enrollment
form and submit to Mr. Chris Kim, HR, no later than [07/05/2019].

NOTE (qualifying event): After open enrollment, you cannot make changes to your coverage during the year
unless you experience a change in family status, such as:
 Loss or gain of coverage through your spouse
 Loss of eligibility of a covered dependent
 Death of your covered spouse or child
 Birth or adoption of a child
 Marriage, divorce or legal separation
 Switch from part-time employment to full-time employment

[Please find the attached]
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