Fast Track Urgent Care

ELIGIBILITY

All Regular full-time employees are eligible to join the Fast Track Urgent Care Benefits Plan on the first of the month following 60 days of employment. “Regular Full-Time Employees” must be regularly scheduled and working at least 30 hours per week. You may also enroll your dependents in the Benefits Plan when you enroll.

WHO’S AN ELIGIBLE DEPENDENT?

• Your legal spouse

• Your married or unmarried natural children, step-children living with you, legally adopted child(ren) and any other child(ren) for whom you have legal guardianship, up to age 26 • A dependent who is older than 26 years of age, but less than 30 years of age may be eligible for medical benefits. To be eligible they must: • Be unmarried and not have a dependent of his or her own, AND • Be a resident of Florida or full-time student, AND • Not have coverage of their own, or covered under another plan, including Medicare

WHEN CAN YOU ENROLL?

You can sign up for Benefits at any of the following times:

• As a new hire, at your initial eligibility date.

• During Annual Open Enrollment.

• Within 30 days of a qualified family-status change.

If you do not enroll at one of the above times, you may enroll during the next annual open enrollment period.

Generally, you can only change your benefit choices during the annual benefits enrollment period. However, you may be able to change your benefit choices during the plan year if you have a change in status including:

• Your marriage

• Change in your work status that affects your benefits

• Your divorce

• Change in residence that affects your eligibility for coverage

• Birth or adoption of an eligible child

• Change in your child’s eligibility for benefits

• Death of your spouse or covered child

• Receiving Qualified Medical Child Support Order (QMCSO)

• Change in your spouse’s work status that affects your benefits

You must notify and submit documentation to Human Resources within 30 days of a qualified life event . The IRS allows changes to be made within 60 days for those eligible for Medicaid or CHIP under HIPAA Special Enrollment Rights. If you fail to do so you will be required to wait

until the next annual enrollment period to make benefit changes unless you have another family status change.

WHEN COVERAGE ENDS

Coverage will stop on the last day of the month in which employment with the company ends. Life and Disability will end on your last date of employment.

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