Page 8 - Tender Greens EE Guide 01-20 Non-CA.pub

Eligibility & Enrollment

Who may enroll

Tender Greens Team Members
 Regular, full-time Team Members working at least 30 hours per week

Dependents
 Your legally married spouse
 Your registered domestic partner (as defined by the state)
 Your children, stepchildren or children of your registered domestic partner to age 26, regardless of marital or student
status
 Any children for whom you are required to provide coverage under a Qualified Medical Child Support Order
 Your unmarried children, step-children or children of your registered 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/AD&D plans.

Required Information
At enrollment you are required to enter the Social Security Number for all covered dependents, as well as, provide proof such
as a marriage certificate or birth certificate. 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.

When you may enroll

Benefits Plan Year:

January 1 - December 31 As an Eligible Team Member
 You may participate in the company’s benefits following your
waiting period:
Full-Time Team Members: first day of the month following
the completion of 30 days of full-time employment
Variable Hour Team Members: after your variable hour
measurement period
 Each year, during open enrollment
 Within 30 days of a qualifying event as defined by the IRS
 You may enroll in Voluntary Life/AD&D and Voluntary Disability
insurance at any time, subject to proof of good health and
carrier approval

8 Team Member Benefits