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| Health+ Eligibility |
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| Eligibility |
PPO Plans |
Value Plan |
Dental Plan |
Vision Plan |
| Full-time Salaried Managers
Full-time Hourly Managers Maintenance Staff/ Office Personnel |
Eligible after 1 st of month following 60 days of employment |
Eligible after 1 st of month following 60 days of employment |
Eligible after 1 st of month following 60 days of employment |
Eligible after 1 st of month following 60 days of employment |
| All Hourly Crew Members |
Not Eligible |
Eligible after 1 st of month following 60 days of employment |
Eligible after 1 st of month following 60 days of employment |
Eligible after 1 st of month following 60 days of employment |
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| Employees’ hours and eligibility status will be checked every May for the July annual enrollment.
Employees must average at least 20 hours per week to be eligible for benefits.
For all other hourly employees, the 20+ hours per week will be averaged over 90 days.
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| Please note: Your employer may not offer the dental or vision plans above. Please check with your employer or call the Health+ Service Center to see if dental and/or vision benefits are available. |
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 Eligible Dependents for Medical, Dental and Vision Plans |
• An employee’s spouse who is of the opposite sex, except for one who is:
o Legally separated
o Considered a common-law spouse
• An unmarried child or stepchild under the age of 19.
• An unmarried child or stepchild who is a full-time student between the ages of 19 and 25.
• An employee’s child or stepchild of any age if mentally or physically incapacitated (as evidenced by a statement of incapacitation from the child’s physician) or incapable of self-support and chiefly dependent upon the employee for support. The incapacity must occur prior to the age 19 and the child or stepchild must have continuous coverage from the time of the occurrence of the incapacity. |
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| Coverage Levels |
Under this health program, you can choose medical, dental and vision coverage for:
• Yourself only
• Yourself plus your spouse
• Yourself plus dependent child(ren)
• Yourself plus your entire family (spouse and children)
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| Premiums/Enrollments/Changes |
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| The Health+ Program has established a plan that allows the deductions for medical insurance premiums to be made on a pre-tax basis. This is the Premium Conversion Cafeteria Plan and it effectively decreases your cost of the Value Plan, the PPO Plan, the Dental Plan and the Vision Plan. Please read the Premium Conversion Cafeteria Plan guidelines below. |
• When you elect to participate in the Value Plan, a PPO Plan, the Dental Plan or the Vision Plan, you automatically elect to participate in the Premium Conversion Cafeteria Plan.
• Enrollment, changes, or cancellations for these plans are allowed at the following times only :
o Within 60 days from date of hire or date you moved into an eligible class
o During the annual enrollment period each year.
o Change in the family status- changes to insurance must be received by the Health+ Service Center within 31 days of change in family status.
• IRS recognized changes in family status:
o Marriage or divorce.
o Death of spouse or dependent.
o Birth or adoption of child.
o Termination or commencement of spousal health benefits.
o Going from part-time status to full-time or from full-time status to part-time.
o You or your spouse takes an unpaid Leave of Absence.
Any change in coverage that is due to a change in family status must be necessary or appropriate as a result of that change in family status.
• When coverage ends:
Medical, dental and vision coverage for you and your covered dependents normally ends on the date following:
o When your employment terminates for any reason except retirement or death.
o When you or your dependents are no longer eligible (i.e., when an eligible dependent withdraws from school or marries)
o Your dependent child's 19 th birthday (or 25 th birthday if they are a full-time student)
o At the end of the month of graduation from high school or college for covered dependents.
o When your contributions cease.
o On the date the company cancels coverage. |
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