Page 4 - Rampart EE Guide 01-19 (flipbook)

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
Rampart Supply’s benefits program. Your eligible dependents include:
• Legally married or common-law spouse
• Same-sex domestic partner
• 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 following benefits:
• Medical/HRA, Dental & Vision: Eligible to enroll on the first day of the month following 30 days of full‐time employment
• Life/Disability: Eligible to enroll on the first day of the month following 1 year of full‐time employment
• Long Term Care: Eligible to enroll if employed at least 6 months prior to open enrollment
• Supplemental Benefits: Eligible to enroll at open enrollment
• Each year, during open enrollment
• Within 30 days of a life event as defined by the IRS (see Changes To Enrollment below)

Paying For Your Coverage
The Basic Life/AD&D, Long Term Disability, Short Term Disability, and base Long Term Care benefits are provided at no cost to you
and are paid entirely by Rampart Supply. You and the company share in the cost of the Medical benefits you elect. Any Dental,
Vision, and Supplemental benefits you elect will be paid by you at discounted group rates. Your Medical, Dental, and Vision
contributions are deducted before taxes. 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 life event.

Changes To Enrollment
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 life event as defined by the IRS.

Examples include, but are not limited to the following: • Change in your residence or workplace (if your benefit
• Marriage, divorce, legal separation or annulment options change)
• Birth or adoption of a child • Loss of coverage through Medicaid or Children’s Health
• A qualified medical child support order Insurance Program (CHIP)
• Death of a spouse or child • Becoming eligible for a state’s premium assistance
• A change in your dependent’s eligibility status program under Medicaid or CHIP
• Loss of coverage from another health plan • A spouse or dependent’s open enrollment

Coverage for a new dependent is not automatic. If you experience a qualifying event, you have 30 days to update your coverage.
Please contact the Human Resources Department immediately following a qualifying event to complete the appropriate election
forms as needed. 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.

ONLINE CARRIER RESOURCES

Take advantage of the online resources available through our insurance carriers. You can
locate network providers, manage your claims, obtain health and wellness information, and
much more! Insurance carrier website addresses are located on page 14 of this guide.

4