Page 4 - Asian Box Guide FINAL 9.11

ENROLLMENT

Who may enroll

Asian Box Employees
• Regular, full-time employees working at least 30 hours per week

Dependents
• Your legally married spouse
• Your registered domestic partner (as defined by the state of California)
• Your child(ren), step-child(ren) or child(ren) of your registered domestic partner to age 26, regardless of marital or student
status
• Any child(ren) for whom you are required to provide coverage under a Qualified Medical Child Support Order
• Your unmarried child(ren), step-child(ren) or child(ren) of your registered domestic partner of any age, if they are incapable of
self-care due to a physical or mental disability

Your spouse, domestic partner and child(ren) can be enrolled in our medical, dental, vision,
voluntary life/ad&d, and supplemental insurance plans.

Required Information
At enrollment you are required to enter the Social Security Number for all covered dependents. Health Care Reform law requires
the company to report this information to the IRS each year to show that you and your dependents have coverage and are not
subject to a penalty. This information will be securely submitted to the IRS and will remain confidential.

The Affordable Care Act (ACA) requires applicable large employers to make affordable
ACA coverage available to their employees or risk paying a penalty. Because Asian Box’s
medical plans are considered affordable and meet minimum value under the Affordable
Care Act, you will not generally see lower premiums or out-of-pocket costs through the
marketplace. In addition, employer contributions to your medical benefits will be lost if
you choose to purchase coverage through the marketplace, and your portion of medical
premiums will no longer be paid via payroll deductions on a pre-tax basis.

The new mandate, effective January 1, 2020, would require California residents, and
any spouse or dependent, to enroll in qualified insurance coverage for each month of
the year. If you are not insured, you may be subject to a tax penalty. The penalty for not
having insurance will be $695 per adult (and $347.50 per child under 18) or 2.5% of
annual household income, whichever is greater. That can amount to thousands of dollars
a year. It is important that you understand your options for health insurance
coverage. You will not have the option to enroll in Jan 2020, unless you have a
qualifying event.

Annual Notices: Asian Box plans are partially arranged by Asian Box and governed by it’s
For More Information plan rules and documents. ERISA and various other state and federal laws require that
employers provide disclosure and annual notices to their plan participants. Asian Box
Go to www.healthcare.gov.
distributes annual notices to new-hires, and each year during open enrollment. You may
also request a copy by contacting the Human Resources Department, or download a copy
from Ease Central.

4 Employee Benefits