Page 3 - Adolph's Litho Services - Benefit guide - Effective 3-1-2020
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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  our  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 12 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 benefits described in this guide. Eligible employees are eligible following 90 calendar days
          of employment. Family members are eligible for medical and voluntary dental (please see benefit
          page for  dependent children age  requirements).




         When to Enroll

         All employees are required to complete the New Hire Enrollment  at
         new  hire  and  once  a  year  during  the  Annual  Open  Enrollment
         period. Open enrollment is in February for the March 1st plan year.
         New  hire  enrollment  forms  are  due  to  Amanda  Tyner  within
         the first 60 days of employment. Online enrollment Instructions
         are provided on page 12.


         Can I make changes during the plan year?

         Yes, you have HIPAA Special Enrollment Rights. To review these rights, please refer to page 14 or the Library
         section of your Benefit Website.

                                    LAW TO HAVE HEALTH INSURANCE

                                    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 the medical plan offered by Adolph’s Litho Services  exceeds the
                 minimum  value standard for health coverage according to the Affordable Care Act.

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