Page 9 - Tender Greens EE Guide 01-20 Non-CA.pub
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Eligibility & Enrollment







         Changes to enrollment




         Open Enrollment
         During our annual open enrollment period, you may make new benefit elections for the following January 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, legal   Birth, adoption, or death of a   Qualified Medical Child   Change in your dependent’s
            separation, or annulment       child or spouse       Support Order (QMCSO)          eligibility status










         Loss of coverage from another   Change in your residence or   Loss of coverage through   Eligibility for a state’s premium
                 health plan          workplace (if your benefit   Medicaid or Children’s Health   assistance program under
                                          options change)        Insurance Program (CHIP)       Medicaid or CHIP



         You may login to UltiPro to update your dependent information as needed. UltiPro 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 UltiPro. Login information is
                                                                                  located on page 4 of this document.










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