2021 City of Hutchinson Benefit Guide FINAL - 11-20-20

5 Eligibility New Hire: You are eligible for benefits if you are an active full-time employee. Full-time is (30) hours per week. Coverage goes into effect the first of the month following employment. You must enroll within 30 days of your hire date. You may also enroll your eligible dependents as follows: • Legally married spouse • Eligible children to age 26 – For purposes of the Health, Vision and Dental plans, the term “dependents” refers to your natural child, lawfully adopted child (including a child placed with you for adoption but for whom the adoption is not yet final), stepchild or other child for whom you have obtained legal guardianship pursuant to a court order, until such child attains age 26 (or until such child attains age 18 in the case of legal guardianship). Current Employee: Annual Open Enrollment period occurs in the fall of each year. During the annual open enrollment period, employees have an opportunity to enroll or make coverage changes. All approved changes made during open enrollment are effective January 1 st of the following year. Changes Due to Qualifying Events: Employees may only change coverage during the plan year if you experience a qualifying life event. Requested coverage changes must be consistent with the qualifying life event. Examples of qualifying life events are: • Marriage • Divorce or legal separation • Birth of your child • Death of your spouse or dependent child • Adoption of or placement for adoption of your child • Change in employment status of employee, spouse or dependent child • Qualification by the Plan Administrator of a child support order for medical coverage • Entitlement to Medicare or Medicaid You must notify Human Resources within 30 days of a qualifying event (or 60 days if the qualifying event i s coverage lost under Medicaid or State CHIP program or if you or your dependents become eligible for a premium assistance subsidy from the state). Supportingdocumentation (such as birth certificate, marriage license, and divorce decree) must be provided. To comply with Federal regulations, you are also required to provide the full legal name, Social Security Number, gender, birth date, and the address of residence of any spouse or dependent if he/she is not living with the employee. Human Resources will guide you through the change of benefit(s) process.