Page 3 - JFSLA - Benefits Guide 2018-2019 (5.29.18)

Enrollment Information

Who May Enroll
If you are a regular full‐time employee working at least 27.5 hours per week, you and your eligible dependents may participate in
Jewish Family Service of Los Angeles’ benefits program. Your eligible dependents include:
 Legally married spouse
 Registered domestic partner
 Children under the age of 26, regardless of student or marital status

When You Can Enroll
As an eligible employee, you may enroll at the following times:
 As a new hire, you may participate in the company’s benefits program on the first day of the month following the completion of
30 days of full‐time employment
 Each year, during open enrollment
 Within 30 days of a qualifying event as defined by the IRS (see Changes To Enrollment below)

Paying For Your Coverage
The Basic Life, Long Term Disability and Employee Assistance Program benefits are provided at no cost to you and are paid entirely
by Jewish Family Service of Los Angeles. You and the company share in the cost of the Medical, Dental and Vision benefits you
elect. Any Voluntary Life and AD&D and Supplemental benefits you elect will be paid by you on a post-tax basis. Your Medical,
Dental and Vision contributions are deducted before taxes are withheld (pre-tax basis), which saves you tax dollars. Paying for
benefits before‐tax means that your share of the costs is 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 status change. If you elect to have your deductions on a POST–tax basis you must notify your Human
Resources Department.

Changes To Enrollment
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Our benefit plans are effective July 1 through June 30 of each year. There is an annual open enrollment period each year, during
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which you can make new benefit elections for the following July 1 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  Change in your residence or workplace (if your benefit
 Birth or adoption of a child options 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 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.

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 information, and much more!

Insurance carrier website addresses are located on page 16 of this guide.

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