Page 95 - Bird RFP Response_Burnham Benefits

Who can enroll? When can I enroll?

ShipWorks employees Open Enrollment
• Working full-time (30 hours or more each week on a regular basis). • During open enrollment you can enroll or make
changes to your benefits.
Spouse/Domestic Partner • Open enrollment happens every year.
• Your legally married spouse (same or opposite sex).
• Your domestic partner. Upon Hire
• You must enroll within 30 days of your hire date.
Children • You are eligible for benefits on the first day of the

• Your children, stepchildren or children of your domestic partner to age 26, regardless month coinciding with your date of hire.
of marital or student status. • You are eligible for the company's 401(k) plan on

• Any children for whom you are required to provide coverage under a Qualified Medical the first day of the month following the completion
Child Support Order. of 1 month of employment.
• Disabled Child: your unmarried children, step-children or children of your domestic
partner of any age, if they are incapable of self-care due to a physical or mental
disability.

Your spouse, domestic partner and children can be enrolled
in our medical, dental, vision and voluntary life insurance Our 2019 benefits last from

plans. January 1 - December 31

Required Information
At enrollment you are required to enter the Social Security Number for all covered
dependents. Health Care reform law requires the company to report this information to
the IRS each year to show that you and your dependents have coverage and are not
subject to a penalty. This information will be securely submitted to the IRS and will remain
confidential.