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Benefits Overview

Benefits Overview. Rules of the Game. Who is eligible for coverage?. Active employees Full time (FT) Employees scheduled 32+ hours/week Regular Part time (RPT) Employees scheduled between 20 and 31 hours/week FT and RPT employees on approved Leaves of Absence (LOAs).

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Benefits Overview

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  1. Benefits Overview Rules of the Game 1

  2. Who is eligible for coverage? • Active employees • Full time (FT) Employees scheduled 32+ hours/week • Regular Part time (RPT) Employees scheduled between 20 and 31 hours/week • FT and RPT employees on approved Leaves of Absence (LOAs)

  3. When can coverage begin? • Upon hire • At open enrollment (in October/November to be effective the following January 1st) • Through a Qualifying Event (within 30 days) and with proper documentation • Gain or loss of a dependent (birth, adoption, 26th birthday of a child, marriage, divorce, death) • Spouse/partner’s gain or loss of employment • Spouse/partner’s open enrollment • Medicare/Medicaid eligibility • Change in Daycare charges

  4. When will coverage become effective? • New hires: Coverage is effective the first of the month after one month of FT/RPT employment • Open enrollment: Paperwork in October/November with coverage effective January 1st. • Qualifying event: Changes in coverage effective the first of the month following the event. Changes made must be related to the event. For example, birth of a child would allow you to add the newborn to medical and begin a dependent care spending account but would not allow you to begin vision insurance.

  5. When does coverage end? Coverage ends the last day of the month of: • At termination of employment (either voluntary or involuntary) • December (if dropping coverage through Open Enrollment) • At retirement • At a change to per diem status (less than 20 hours/week) • At the end of a Leave of Absence (LOA)

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