2022 BENEFITS PROGRAM
As a XYZ Company associate, you are eligible for benefits if you work at least 30 hours per week.
During open enrollment, you have the option to change plans or waive coverage. You may also enroll your eligible dependents for coverage once you are eligible. Your eligible dependents include:
- Your legal spouse
- Your children up to age 26
You may only change coverage within 30 days of a qualified life event. Otherwise, your next opportunity to change your benefit options will be Open Enrollment due to IRS regulations.
Qualified Life Events
Generally, you may change your benefit elections only during the annual enrollment period. However, you may change your benefit elections during the year if you experience a qualified life event, including:
- Marriage, Divorce, or legal separation
- Death of your spouse, or dependent child
- Birth, Adoption of or placement for adoption of your child
- Change in employment status of associate, spouse or dependent child
- Qualification by the Plan Administrator of a child support order for medical coverage
- Entitlement to Medicare or Medicaid
You must notify Human Resources within 30 days of the qualified life event. Depending on the type of event, you may be asked to provide proof of the event. If you do not contact Human Resources within 30 days of the qualified event, you will have to wait until the next annual enrollment period to make changes (unless you experience another qualified life event).
For more information about your benefits, please refer to the full plan summaries.
Overview of Your Benefits
XYZ Company pays the full cost of many of your benefits; you share the cost for others. You pay the full cost for any voluntary benefits you elect.
