Page 5 - Asian Box Guide FINAL 9.11

ENROLLMENT

When you may enroll

As an Eligible Employee
• As a new hire, you may participate in the company’s benefits on the first day of the month following the completion of 2
months of full-time employment
• Each year, during open enrollment
• Within 30 days of a qualifying event as defined by the IRS
• You may enroll in Voluntary Life/AD&D insurance at any time, subject to proof of good health and carrier approval

Changes to enrollment

Open Enrollment
During our annual open enrollment period, you may make new benefit elections for the following October 1st effective date.

Qualifying Event
Once you make your benefit elections, you cannot change them throughout the year unless you experience a qualifying event as
defined by the IRS. Examples include, but are not limited to:

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

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

Coverage for a new dependent is not automatic. Dependents must be enrolled within 30 days from the date of the qualifying
event. Please contact the Human Resources Department immediately following a qualifying event to complete the appropriate
election forms as needed. You may login to Ease to update your dependent information as needed. Ease login information is
located on page 3 of this guide. If you do not update your coverage within 30 days of the qualifying event, you must wait until the
next annual open enrollment period to update your coverage.

Employee Benefits 5