Page 4 - publication
P. 4

You are eligible to participate in the Arrowhead Credit Union flexible compensation plan if you work the required
         minimum hours noted in the Team Member handbook (please refer to the Benefits Overview section). As an
         eligible  Team  Member,  your  eligible  dependents  may  also  participate  in    Arrowhead  Credit  Union's  benefits
         program.

         Your eligible dependents include:
         •  Legally married spouse
         •  Registered domestic partner as per California Family Code 297 (which allows same sex partners registered
            with the State of California, or if over age 62 registered opposite sex partners)
         •  Dependent children as follows:
                •  Any age, if they are mentally or physically handicapped, chiefly dependent on you for support, and
                    not capable of self-sustaining employment
                •  Child Life: unmarried to age 26 regardless of student status
                •  Dental: unmarried to age 26 regardless of student status
                •  Medical & Vision: to age 26 regardless of student or marital status



         As an eligible Team Member, you may enroll at the following times:
         •  As  a  new  hire,  once  you  have  satisfied  your  new  hire  waiting  period;  you  must  complete  the  benefit
            enrollment process within 30 days
         •  Each year, during open enrollment
         •  Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment below)

         If  you  elect  to  enroll  your  eligible  dependents  on  your  health  benefits,  you  are  required  to  provide  Human
         Resources  with  their  correct  name(s),  date(s)  of  birth,  and  social  security  number(s).  You  will  also  need  to
         provide the complete name(s) and social security number(s) of your beneficiary(ies) for Life / AD&D insurance.


         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 causing loss of plan network access
         •  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

         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.






         4
   1   2   3   4   5   6   7   8   9