Page 4 - Career Group Guide 2020 - Temporary CA
P. 4

ELIGIBILITY & ENROLLMENT


         Enrollment Information



         Who May Enroll
         Please reference the attached plan policy document for more information regarding eligibility. Please note that if you are
         eligible to enroll, you are also able to enroll your eligible dependents which include:
         •   Your legally married spouse
         •   Your registered domestic partner (as defined by the state of California)
         •   Your children, stepchildren or children of your registered domestic partner to age 26, regardless of marital or student
             status
         •   Any children for whom you are required to provide coverage under a Qualified Medical Child Support Order
         •   Your unmarried children, step-children or children of your registered domestic partner of any age, if they are
             incapable of self-care due to a physical or mental disability

         Paying For Your Coverage
         You and the Company share in the cost of your Medical benefits you elect. Any medical benefits that you elect will be
         paid by you and deducted before taxes are withheld which saves you tax dollars, resulting in more take home pay for
         you. You cannot drop or change coverage unless you experience a qualifying life event. Note, you also have the
         opportunity opt-out of the pre-tax option if you think you may want to drop your insurance coverage for a reason other
         than the qualifying life events listed on page 5 (see more information regarding post-tax elections on page 14).


         IMPORTANT NOTE
         If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a Federal
         law gives you more choices about your prescription drug coverage. See page 1-2 of the attached annual notices packet
         for details.

         Please remember to review the CHIP notice within this brochure. It includes information on how employees can contact
         their state to check if you are eligible for premium assistance under Medicaid or Children’s Health Insurance Program
         (CHIP) and how to apply for the programs. See page 4 of the attached annual notices packet for details.




                                                                Career Group Benefits Helpline


               Benefits Plan Year:                                      Toll Free: 866.831.6512
           January 1 - December 31                          Email: CGCBenefits@BurnhamBenefits.com
                                                               Hours: Monday through Friday, 8:30am to 5:00pm PST,
                                                                             excluding holidays.



     4  Employee Benefits
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