Page 3 - Sumitomo EE Guide 06-18.pub
P. 3
ENROLLMENT INFORMATION
Who May Enroll
If you are a full‐ me (FT40) or a reduced full‐ me (FT30) employee, you and your eligible dependents may par cipate in SRNA’s
benefits program. Your eligible dependents include:
Legally married spouse
Domes c partner
Children under the age of 26
When You Can Enroll
As an eligible employee you may enroll at the following mes:
As a new hire you may par cipate in the company’s benefits program on the first day of the month coinciding with or following
your date of hire ‐ you must enroll in benefits within 15 days of your ini al eligibility date
Each year during open enrollment
Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment below)
You may enroll in Supplemental Life and AD&D insurance at any me, subject to proof of good health and carrier approval
Paying For Your Coverage
The Basic Life/AD&D, Business Travel Accident, Travel Assistance Program, Short Term Disability, Long Term Disability, Employee
Assistance Program, Health Advocate, and Value‐Added Programs are provided at no cost to you and are paid en rely by SRNA.
You and the company share in the cost of the Medical, Dental, and Vision benefits you elect. Any Supplemental Life/AD&D, and
Voluntary Benefits you elect will be paid by you at discounted group rates. Your Medical, Dental, and Vision contribu ons are
deducted before taxes are withheld. Paying for benefits before‐tax means your share of the costs are deducted before taxes
resul ng in more take‐home pay for you. As a result, the IRS requires that your elec ons remain in effect for the en re year. You
cannot drop or change coverage unless you experience a qualifying event.
Changes To Enrollment
SRNA’s 2018/2019 benefit plans are effec ve June 1, 2018 through May 31, 2019. Open Enrollment happens once a year where
you can make new benefits elec ons. Once you make your benefits elec ons you cannot change them throughout the year unless
you experience a Qualifying Event as defined by the IRS.
Examples of a Qualifying Event include, but are not limited to the following:
Marriage, divorce, legal separa on or annulment Change in your residence or workplace (if your benefit
Birth or adop on of a child op ons change)
A qualified medical child support order Loss of coverage through Medicaid or Children’s Health
Death of a spouse or child Insurance Program (CHIP)
A change in your dependent’s eligibility status Becoming eligible for a state’s premium assistance
Loss of coverage from another health plan program under Medicaid or CHIP
Coverage for a new dependent is not automa c. If you experience a Qualifying Event, you have 30 days to update your coverage.
You may log in to Paycom to update your dependent informa on as needed. Paycom login informa on 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 un l the next annual Open
Enrollment period to update your coverage.
ONLINE CARRIER RESOURCES
Take advantage of the online resources available through our insurance carriers. You can
locate network providers, manage your claims, obtain health and wellness informa on, and
much more!
Insurance carrier website addresses are located on page 6 of this guide.
3
