JohnsonCo - 2025 Benefits Guide

WHO IS AN ELIGIBLE DEPENDENT? You can enroll the following dependents in our group benefit plans: • Your legal spouse • Your natural, adopted, or stepchildren living with you, or any other children whom you have legal guardianship, up to age 26 • Unmarried children of any age if disabled and claimed as a dependent on your federal income taxes ELIGIBILITY: All regular full-time employees working at least 30 hours per week are eligible for benefits. As a new hire, you are eligible on the first day of the month following 60 days of employment. ADDITIONAL INFORMATION

WHEN YOU CAN ENROLL IN BENEFITS: • During your initial new hire eligibility period • During the annual Open Enrollment period for a January 1st effective date

If you fail to enroll within the timeframe given for the new hire eligibility or annual enrollment window, you will not be able to elect benefits again until the next Open Enrollment period, and you will not have coverage, unless you experience a qualified life event. Please make your elections on time, or you may experience a delay in using your benefits.

QUALIFYING LIFE EVENTS are events that cause an individual to lose his or her group health coverage. The type of qualifying event determines who the qualified beneficiaries are for that event and the period of time that a plan must offer continuation of coverage. Qualifying Life events include: • Marriage, divorce, or legal separation • Death of spouse or other dependent • Birth or adoption of a child • You or your spouse experience a work event that effects your benefits • A dependent’s eligibility status changes due to age, student status, marital status, or employment • Relocation into or outside of your plan’s service area You must notify Human Resources within 30 days of the qualifying 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 qualifying event, you will have to wait until the next annual enrollment period to make changes. TERMINATION OF COVERAGE: • If you leave your job, your coverage will terminate on the last day of the month following the termination or resignation date. • When a covered dependent reaches age 26, their coverage will terminate on the last day of the month following their date of birth.

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