Page 3 - Tritrax Benefit Guide Effective 9-1-2020

Important Information

The intent of our benefit guide is to briefly highlight your benefits and NOT to replace your insurance
contracts or booklets. The information has been compiled into summary form to outline the benefits
offered by your company. If this benefit guide does not address your specific benefit questions,
please refer to the Contact Information page of this booklet. The contact page will provide you
with the information you need to contact the specific insurance carriers and/or Human Resources
Department for additional assistance. The information provided in this summary is for comparative
purposes only. Actual claims paid are subject to the specific terms and conditions of each policy

contract. This benefit guide does not constitute SBC’s, policy or contract. Our Employee Benefit
Portal includes plan information, summaries, costs, carriers contact information, videos and more.
Please see the instructions on page 18 to access this information.

Who is Eligible?

If you are a full-time employee, working a minimum of 30 hours per week, you are eligible to enroll in the ben-
efits described in this guide. New employees are eligible on the first of the month following 60 calendar days
of employment. The following family members are eligible for medical, dental, and vision benefits: spouses
and dependent children (see benefit page for age requirements).

When to Enroll

All employees are required to complete the New Hire online Enrollment
at new hire and once a year during the Annual Open Enrollment.

Open enrollment is in August for a September 1st effective date. New
hire enrollment login and password will be provided by Brianna Lucignani

with login instructions on page 18.

Can I make changes during the plan year?

Yes, you have HIPAA Special Enrollment Rights. To review these rights, please refer to page 26 or the Library
section of your Benefit Website.

LAW TO HAVE HEALTH INSURANCE or PAY!
Individuals are still required to have medical unless you have qualified
waivers as mandated by current law. The penalty fine for not having
coverage ends January 1, 2019.

Please note that all medical plans offered by TriTrax Rehabilitation exceed the minimum
value standards for health coverage according to the Affordable Care Act.

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