ENROLLMENT AND ELIGIBILITY
WHO CAN ENROLL? If you are an employee regularly working a minimum of 30 hours per week, you are eligible to participate in the benefits program. Employees working an average of 20 hours per week may also participate but some restrictions may apply. Many of the plans offer coverage for eligible dependents, including: • Your legal spouse. • Your children to age 26, regardless of student, marital, or tax-dependent status (including a stepchild, legally- adopted child, a child placed with you for adoption, or a child for whom you are the legal guardian). • Your dependent children of any age who are physically or mentally unable to care for themselves. WHEN DOES COVERAGE BEGIN AND WHEN CAN I ENROLL? Benefits for newly hired employees will become effective 30 days from date of hire. Your enrollment choices remain in effect through the end of the benefits plan year January 1 through December 31.
You can sign up for benefits or change your benefit elections at the following times: • Within 30 days of your initial eligibility date (as a newly-hired employee). • During the annual benefits annual enrollment period. • Within 30 days of experiencing a qualifying life event (status change).
NOTE : If you do not sign up for benefits during your initial eligibility period or during the annual enrollment period, you will not be able to elect coverage until the following plan year unless you have a status change.
WHAT IF MY NEEDS CHANGE DURING THE YEAR? You are permitted to make changes to your benefits outside of the annual enrollment period if you have a qualified change in status as defined by the IRS. Generally, you may add or remove dependents from your benefits, as well as add, drop, or change coverage if you submit your request for change within 30 days of the qualified event with proper documentation. Election changes must be consistent with your life event. To request a benefits change, notify Human Resources within 30 days of the qualifying life event. Change requests submitted after 30 days cannot be accepted. Qualifying life events include, but are limited to: • Marriage, divorce, or legal separation. • Birth or adoption of an eligible child. • Death of your spouse or covered child. • Change in your spouse’s work status that affects his or her benefits. • Change in your child’s eligibility for benefits. • Qualified Medical Child Support Order. Active employees have an active annual enrollment period, meaning you are required to take action to continue your benefit coverage in 2023. You must log into GreenEmployee to complete your enrollment. • Go to GreenEmployee and select the Benefits tab at the top of the screen. Under Open Enrollment, select Begin Enrollment. It will be necessary to confirm your existing medical, dental and vision elections or make changes by selecting the “enroll or waive” option. When finished sign and submit. • In addition, if you wish to participate in the Flexible Spending Account (FSA) in 2023, you must re-elect your contribution amount. • If you are newly enrolling in the voluntary plans such as Aflac, USAble or the 529 Plan, you will not be able to enroll via GreenEmployee. A hard copy enrollment must be completed. Forms are available in the HR Department. • Following Annual Enrollment, your deductions will begin with the first January paycheck. HOW DO I ENROLL? • NOTE: If you waive coverage, this means you are declining insurance coverage for this benefit. The next opportunity to enroll in the benefit will be Annual Enrollment (November 2023) with benefits effective January 1, 2024 or when a qualifying status change occurs. The information for this benefit has been provided by Village of Pinehurst. OneDigital is not responsible for the content on this page.
4
Made with FlippingBook - Online catalogs