ELIGIBILITY AND ENROLLMENT
Who is Eligible? Benefits are available to all full-time associates working a minimum of 30 hours per week and their dependents. For those enrolling during Open Enrollment, your benefits will become effective on May 1, 2024. For new hires, your benefits will become effective the first of the month following 60 days after date of hire.
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
Eligible dependents include:
Your legal spouse or domestic partner
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).
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) *There is considerable variation among state laws in terms of eligibility requirements. At least 30 states have extended dependent coverage, regardless of student status. Most states require that a young adult be unmarried and financially dependent on their parents in order to qualify for extended dependent coverage. Please contact your Human Resources Department for your state law requirements. How to Enroll To sign up for benefits, visit paycomonline.net/ v4/ee/web.php/app/login before the end of your enrollment period.
Note: Any change you make to your coverage must be consistent with the change in status.
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