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Eligibility & Enrollment

Who May Enroll
ABC Company employs Full-Time, Part-Time, Variable and Temporary staff to meet the needs of our guests and varying business volumes.

Eligible Employees
Employees are classified based on hours scheduled to work at time of hire. There are 3 benefit classifications designed to meet eligibility
requirements for our company health benefits:

Year Round (YR) Flex Year Round (FYR) Season to Season (S2S)
Status Full-Time Full-Time Full-Time
Minimum Hours 30 per Week 30 per Week, 1,560 Hours based 30 per Week, 1,560 Hours based
on measurement period on measurement period

Measurement Period 52 Weeks 9-11 Months 2 Consecutive Seasons

Eligible Dependents
• Legally married spouse
• Children under the age of 26, regardless of student or marital status

When You Can Enroll
As an eligible employee, you may enroll at the following times:
• As a new hire, you may participate in the company’s benefits program on the first day of the month following the completion of 30 days of
employment
• If you meet the ACA required hours, benefits are effective on the first day of the month following the end of your measurement period
• If you are transferred or promoted, benefits are effective on the first day of the month following your date of transfer/promotion
• Each year, during open enrollment
• Within 31 days of a qualifying life event as defined by the IRS (see Changes To Enrollment below)
• You may enroll in Voluntary Life insurance at any time, subject to proof of good health and carrier approval

Changes To Enrollment
Benefit plans are effective August 1st. There is an annual open enrollment period each year, during which you can make new benefit elections for
the upcoming plan year. Once you make your benefit elections, you cannot change them during the year unless you experience a qualifying life
event as defined by the IRS.

Life Event examples include, but are not limited to the following:

Marriage, divorce, legal Birth, adoption, or death of a child Qualified Medical Child Support Change in your dependent’s
separation, or annulment or spouse Order (QMCSO) eligibility status

Loss of coverage from another Change in your residence or Loss of coverage through Medicaid Eligibility for a state’s premium
health plan workplace (if your benefit options or Children’s Health Insurance assistance program under
change) Program (CHIP) Medicaid or CHIP

Coverage for a new dependent is not automatic. If you experience a qualifying life event, you have 31 days from the date of the event to
update your coverage. Please contact your local Human Resources Office immediately following a qualifying life event to complete your
applicable life event enrollment. If you do not update your coverage within 31 days from the qualifying life event, you must wait until the
next annual open enrollment period to update your coverage.

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