Page 8 - Veritone EE Guide 07-19

When can I change my benefits?
Open Enrollment
During our annual open enrollment period, you may make new benefit elections for the following July 1st effective date.

Qualifying Event
Once you make your benefit elections, you cannot change them throughout the year unless you experience a qualifying event as defined by the IRS.
Examples include, but are not limited to:

Marriage, divorce, Birth, adoption, Qualified Medical Change in your Loss of coverage Change in your Loss of coverage Eligibility for a
legal separation or death of a Child Support dependent’s from another residence or through state’s premium
child or spouse Order (QMCSO) eligibility status health plan workplace (if Medicaid or assistance
your benefit Children’s Health program under
options change) Insurance Medicaid or
Program (CHIP) CHIP

Coverage for a new dependent is not automatic. If you experience a qualifying event, you have 30 days to update your coverage. You may login to Paycom
to update your dependent information as needed. Paycom login information is located on page 4 of this guide. If you do not update your coverage within
30 days of the qualifying event, you must wait until the next annual open enrollment period to update your coverage.

How Can I Enroll?
Enrollment is easy when you log into Paycom. Login information is located on
page 4 of this document.