Page 4 - Lyon Benefits Guide 01-18 National - FINAL

ENROLLMENT INFORMATION

WHO MAY ENROLL CHANGES TO ENROLLMENT
If you are a regular, full-time employee working at least 30 hours Our benefit plans are effective January 1st through December 31st.
per week, you and your eligible dependents may participate in Lyon There is an annual open enrollment period each year, during which
Living’s benefits program. you can make new benefit elections for the following January 1st
effective date. Once you make your benefit elections, you cannot
Your eligible dependents include: change them throughout the year unless you experience a qualifying
• Legally married spouse event as defined by the IRS.
• Registered domestic partner
• Children under the age of 26, regardless of student or marital Examples of qualifying events include, but are not limited to the
status following:
• Disabled children over the age of 26, subject to annual medical • Marriage, divorce, legal separation or annulment
certification • Birth or adoption of a child
• A qualified medical child support order
WHEN YOU MAY ENROLL • Death of a spouse or child

As an eligible employee, you may enroll at the following times: • A change in your dependent’s eligibility status
• As a new hire, you may participate in the company’s benefits • Loss of coverage from another health plan
program on the first day of the month following the • Change in your residence or workplace (if your benefit
completion of 30 days of full-time employment. options change)
• As a new hire, you may participate in the 401(K) plan on the • Loss of coverage through Medicaid or Children’s Health
first day of the month following the completion of 30 days Insurance Program (CHIP)
of service. Please note, you must be at least 18 years of age • Becoming eligible for a state’s premium assistance program
to participate in the plan. under Medicaid or CHIP
• If you move from part-time to full-time status, you are eligible
to receive benefits on the first day of the month following Please note that coverage for a new dependent is not automatic.
your change to full-time status, as long as you have met your If you experience a qualifying event, you have 30 days to update
initial benefit eligibility period of 30 days. your coverage. You may login to bswift to update your dependent
• Each year, during open enrollment. information as needed. If you do not update your coverage within
• Within 30 days of a qualifying event as defined by the IRS 30 days of the qualifying event, you must wait until the next annual
(see Changes To Enrollment). open enrollment period to update your coverage. bswift login
• You may enroll in Voluntary Life and AD&D insurance at any information is located on page 9. You will be required to show
time, subject to proof of good health and carrier approval. proof of Qualifying Events.

PAYING FOR YOUR COVERAGE
The Employee Assistance Program, Basic Life/AD&D, and Long Term Disability benefits are provided at no cost to you and are paid
entirely by Lyon Living. You and the company share in the cost of the Medical, Dental, and Vision benefits you elect. Any Voluntary Life/
AD&D, Voluntary Short Term Disability, Supplemental Benefits, and Pet Insurance 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.
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