Page 4 - P&A Group Benefits Enrollments Guide

How to make changes

Unless you have a qualified change in status, you cannot make changes to the
benefits you elect until the next annual enrollment period. Qualified changes in
status include: marriage, divorce, legal separation, birth or adoption of a child, change in child’s
dependent status, death of spouse, child or other qualified dependent, change in residence due
to an employment transfer for you, your spouse, commencement or termination of adoption
proceedings, or change in spouse’s benefits or employment status.

How do I enroll?

You will enroll via the paper enrollment forms and submit them to your manager or Human
resources department. If you are making any changes to your current coverage, you may need
to fill out the required insurance company form(s) to make those changes for the upcoming
plan year.

What if I need help?

We have assistance for you based on your need. Human Resources will work with you to
ensure that your benefit elections are completed properly.

If you have general benefit questions and need guidance, please contact one of the Allegacy
Benefit Solutions representatives below:
 Amanda Belaustegui 336-774-2816 or abelaustegui@allegacy.org
 Cheryl Grant 336-774-3451 or cgrant@allegacy.org
 Leigh Shenberger 336-774-2838 or lshenberger@allegacy.org

All of the information contained in this booklet is provided to outline some of the major
features of the P & A Industrial Fabrications Benefit Plans. It is intended to be a brief overview
only. Full Summary Plan Descriptions (SPDs) are available by contacting Human Resources. In
the event that the information in this booklet varies from the information in the SPDs, the
provisions outlined in the SPD will govern.

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