Page 46 - CBI and Williams

COVERAGE EFFECTIVE DATES

Generally, benefits are effective on the first day of the month following 60 days of employment.
For most benefits, insurance coverage remains in effect until the date of termination or a status

change that renders the individual no longer eligible for coverage.

PREMIUMS

All benefit plans require an employee contribution. For some benefit plans, the employee is
paying 100% of the premium but are able to take advantage of lower premiums through the
group rates. Employee contributions are paid through payroll deductions on a pre-tax basis for
medical and dental insurance as well as contributions to flexible spending accounts. Premiums

for voluntary disability, life or cancer/critical illness insurance premiums are taken on a post-tax
basis.

BENEFITS CONTINUATION

We offer employees group health insurance coverage (medical and dental) as a benefit of
employment. Under the Consolidated Omnibus Budget Reconciliation Act (COBRA), if you are
no longer eligible for insurance coverage because of a reduction in hours, you voluntarily

resigned, or because you are terminated for reasons other than gross misconduct, you have the
right to continue your health insurance coverage for up to 18 months. You will be responsible
for paying 100% cost of this coverage plus a 2% administration fee. If you suffer a disability
during the first 18 months, you may be eligible for such coverage up to 36 months.

You and your family members may have other options available to you when you lose group
health coverage. For example, you may be eligible to buy an individual plan through the Health
Insurance Marketplace. By enrolling in coverage through the Marketplace, you may qualify for

lower costs on your monthly premiums and lower out-of-pocket costs. Additionally, you may
qualify for a 30-day special enrollment period for another group health plan for which you are
eligible (such as a spouse’s plan), even if that plan generally does not accept late enrollees. You
can learn more about many of these options at www.healthcare.gov.

Others covered by your insurance also have the right to continue coverage if they are no longer
eligible for certain reasons. If you and your spouse divorce or legally separate, or if you pass
away while in our employ, your spouse may continue coverage under our group health plan. In
addition, if your children lose their dependent status, they may continue their health care. In

any of these situations, your family member is entitled to up to 36 months of continued health
care. They must pay the monthly cost of the coverage for continuation of coverage.

Checks and Balances, Inc. 42 1/2017

Disclaimer: This Handbook contains internal confidential propriety information. The policies can change at any time, for any
reason, without warning.