Page 4 - Puma EE Guide 01-19 - PRINT

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 Puma Biotechnology’s benefits program. Your eligible dependents include:
• Legally married spouse
• Registered domestic partner
• Children under the age of 26, regardless of student or marital status

Puma Biotechnology reserves the right to collect information and/or conduct a 3rd party audit to verify a
covered dependent’s eligibility to participate in our plan (Marriage/Birth Certificate, Domestic Partnership
registration, etc.). Covering an ineligible dependent may result in the immediate removal of the dependent
from the plan, denial of claims, charging of back premiums, and possibly employment & tax consequences.

WHEN YOU MAY 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 of the month after
date of hire. If the date of hire is on the first, then coverage also starts on the first.
• As a new hire, you may participate in the 401(k) program on the first pay cycle following 90 days from
your date of hire.
• Each year, during open enrollment
• Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment)
• You may enroll in Voluntary Life and AD&D insurance at any time, subject to proof of good health and
carrier approval

DOMESTIC PARTNERS & TAX IMPLICATIONS OF DOMESTIC PARTNER COVERAGE
Due to Federal laws, your contributions for medical, dental and vision coverage for your domestic partner
must be paid with after-tax dollars. In addition, the amount that Puma Biotechnology pays toward these
coverages for your registered domestic partner is included on your W-2 form at the end of the calendar
year as taxable income. However, coverage for the children of your registered domestic partner will be
considered a pre-tax benefit.

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

Please note that coverage for a new dependent is not automatic. If you experience a qualifying event,
you have 30 days to update your coverage and provide proof of change in status. You may login to
PlanSource to update your dependent information as needed. PlanSource login information is located
on page 5 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.

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