Page 3 - Confie Benefits Guide 01-18_FINAL_r2_dp wording
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Enrollment Information



         Who May Enroll
         If you are a regular full‐time employee working at least 30 hours per week, you and your eligible dependents may participate in
         Confie’s benefits program. Your eligible dependents include:
         •   Legally married spouse
         •   Same or opposite sex domestic partner
         •   Children under the age of 26, regardless of student or marital status
         •   Disabled dependent children
         •   Grandchildren where employee has legal custody, has adopted, or has a court order

         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 30 days of
            continuous employment
         •   Each year, during open enrollment
         •   Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment below)
         •   You may enroll in Voluntary Life and AD&D insurance at any time, subject to proof of good health and carrier approval
         Paying For Your Coverage
         The Employee Assistance Program and Basic Life/AD&D benefits are provided at no cost to you and are paid entirely by Confie. You
         and the company share in the cost of the Medical benefits you elect. Any Dental, Vision, Voluntary Life/AD&D, Voluntary Short
         Term Disability, Voluntary Long Term Disability, Supplemental Benefits and Pet Insurance benefits you elect will be paid by you at
         discounted group rates. Your Medical, Dental, and Vision contributions are deducted before taxes are withheld, which saves you
         tax dollars. Paying for benefits before‐tax means that your share of the costs are deducted before taxes are determined, resulting
         in more take‐home pay for you. As a result, the IRS requires that your elections remain in effect for the entire year. You cannot
         drop or change coverage unless you experience a qualifying event.

         Please note that unless your domestic partner qualifies as your tax dependent for health care purposes under the IRS code, Federal
         Tax Law requires that the premium cost for your domestic partner and his/her children will be deducted from your paycheck on an
         after-tax basis. The value of Confie’s portion of the premium will result in “Imputed Income” to you. This amount will be included
         as an additional wage paid to you on your pay stub for the cost of the domestic partner’s premium on which you will pay Federal
         Taxes.
         Qualifying Events
         Our benefit plans are effective January 1st through December 31st of each year. There is an annual open enrollment period each
         year, during which you can make new benefit elections for the following January 1st effective date. Once you make your benefit
         elections, you cannot change them during the year unless you experience a qualifying event as defined by the IRS.
         Examples include, but are not limited to the following:
         •   Marriage, divorce, legal separation or annulment    •   Change in your residence or workplace (if your benefit
         •   Birth or adoption of a child                           options change)
         •   A qualified medical child support order             •   Loss of coverage through Medicaid or Children’s Health
         •   Death of a spouse or child                             Insurance Program (CHIP)
         •   A change in your dependent’s eligibility status     •   Becoming eligible for a state’s premium assistance
         •   Loss of coverage from another health plan              program under Medicaid or CHIP

         Coverage for a new dependent is not automatic. If you experience a qualifying event, you have 30 days to update your coverage.
         You may login to UlitPro to update your dependent information as needed. UltiPro login information is located on page 4 of this
         guide. If you do not update your coverage within 30 days from the qualifying event, you must wait until the next annual open
         enrollment period to update your coverage.






            You can access your benefits information by visiting the Confie Hub.  You’ll find documents posted such as the
            Summary of Benefits and Coverage (SBC), annual notices, carrier benefit summaries, evidence of coverage
            booklets, claim forms, and much more. The Confie Hub is located at: www.confiehub.com.


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