Xpress Global Systems - 2023 Benefit Guide

WHO IS ELIGIBLE? Benefits are available to all full-time employees working a minimum of 30 hours per week and their dependents. For those enrolling during Open Enrollment, your benefits will become effective on January 1, 2023. For new hires, benefits will become effective on your 31st day of employment.

MAKING CHANGES You may only make changes to your elections during open enrollment each year or during the year if you experience a qualifying event. Qualifying events include, but are not limited to: z Birth, legal adoption, or placement for adoption. z Marital status. z Dependent child reaches age 26. z Spouse gains or loses employment or eligibility with current employer. z Death of a covered dependent. z Spouse or dependent becomes eligible or ineligible for Medicare/Medicaid or SCHIP. z Change in residence that changes eligibility for coverage. z Court-ordered change. Changes to your coverage due to a qualifying life event must be made within 30 days of that life event. Proof of the qualifying life event is required (marriage certificate, divorce decree, birth certificate, or loss of coverage letter). Note: Any change you make to your coverage must be consistent with the change in status. HOW TO ENROLL z Visit workforcenow.adp.com to enroll/waive in benefit coverage. z Enter your User ID and password and then click, Sign In. If you need to reset your password reach out to human resources. z To start, click Enroll Now. z Make sure to review your sections and then click Complete once you are finished.

Eligible dependents include:

Your legal spouse

Your children from birth to age 26

(Including your natural/legally adopted/stepchildren, and/or your unmarried dependent children of any age who are mentally or physically disabled and who are dependent on you for support)

HOW TO ENROLL SPOUSAL PREMIUMS In an effort to control the health insurance costs for all employees, we are asking for your spouse to elect medical insurance through his/her employer if medical insurance is available. If medical insurance is available to your spouse and you would still like to cover your spouse under XGS, you may do so by paying an additional spousal premium of $100 per pay period.

ENROLLMENT DEADLINES

Current Employee

New hire

Qualified life event

ENROLLMENT OPPORTUNITY Annually during the enrollment period

ENROLLMENT OPPORTUNITY Must enroll within 30 days of hire

ENROLLMENT OPPORTUNITY Changes must be made within 30 days of life event

COVERAGE EFFECTIVE DATE 31st day of employment

COVERAGE EFFECTIVE DATE Start of plan year

COVERAGE EFFECTIVE DATE Date of life event

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