Page 6 - 2020 Benefits Guide

Benefits Eligibility

You are eligible to enroll for health and welfare benefits if you are classified as a
full-time employee who is regularly scheduled to work at least 30 hours per week.
If you are: Dependent Eligibility
; An existing employee making elections If you are eligible to elect coverage for
during 2020 Annual Enrollment (October yourself, you may also elect coverage for
28 through November 15, 2019): your eligible dependents.
Coverage will be effective on January 1, Your eligible dependents include:
2020. ; Your legal spouse
; New hire employee: Coverage will ; Your children up to age 26 (25 years
be effective on the first of the month old or younger) – including
coincident with or following 60 days of ; Natural children (born to you)
full-time employment (e.g., if you start ; Stepchildren
working on January 15, your benefits ; Adopted children
Children whose legal guardianship
;
eligibility date is April 1). A notice of has been granted to you by the
eligibility will be mailed to your home state
address. You must enroll within 31 days ; Your unmarried grandchild
of your benefit eligibility date. (See p.1 of under the age of 26 who is your
this guide for benefits eligibility dates.) dependent for federal income tax
; A newly-eligible employee due to a purposes
change in status from part-time to full- ; Your unmarried child age 26 and
time: Coverage will be effective on the older who depends solely on you for
first of the month following or coincident support because of mental or physical
with 60 days of full-time employment disability where the disability arose
based on your status date change. before age 26 (documentation is
required)
Dependent Verification
When you enroll dependents to your
medical coverage for the first time, you
will be contacted by mail to provide
documentation. Rehired employees may
also need to re-verify any dependents
enrolled in the medical plan. If you
disenroll a spouse in the medical plan
and later re-enroll the spouse, you will
be required to provide a recent tax return
or current proof of joint account. Please
ensure your address is
correct in Dayforce and
respond promptly.

Failure to provide this
documentation within 31
days of the enrollment
effective date, will result
in your dependents being removed from
the medical plan retroactive to the benefit
effective date. Scan the QR code for the
Eden Artino, Credit Analyst list of acceptable documents needed for
5 5 Houston, TX Windows dependent verification.