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

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
   3   4   5   6   7   8   9   10   11   12   13