Who is eligible for benefits?

• All full-time (non-contracted) employees scheduled a minimum of 36 hours or more per week and part-time employees scheduled 24-35.99 hours per week.
• Dependent children are covered through the end of the month in which they turn age 26 for medical and the end of the plan year they turn age 26 for dental and vision.
  • A dependent child includes a natural child, stepchild, a legally adopted child, a child placed for adoption or a child for whom you or your Spouse are the legal guardian. An eligible dependent child also includes an unmarried child age 26 or over who is or becomes disabled and dependent upon you.
• Spouses that don’t work, work without access to health coverage and self-employed spouses who make under $34,100 are eligible dependents for medical benefits. All spouses are eligible for non-medical benefits.
• If you wish to elect certain voluntary benefits, you may be required to complete an additional enrollment form and also submit Evidence of Insurability.

Things to Know Before You Enroll

If you elect to add a dependent, the dependent must be enrolled during open enrollment, when your are first eligible for benefits or within 30 days following a qualified family status change.

• Only 30 days are allowed for enrollment of a newborn, if you have not received the birth certificate within this timeframe, you should contact HR before this time expires.
• You will need to provide proof of marriage or birth when adding a dependent that has not previously been covered under the plan.
• You must provide the Social Security number and date of birth for any spouse and/or dependent you enroll (or to make a name change).

Upcoming Dependent Verification

A dependent verification audit will be conducted in 2025. This may require you to submit proof of dependent documentation to verify eligibility.

Can I change my benefits anytime?

In most cases, you cannot change your benefits until the next annual open enrollment period. Mid-year changes are only allowed if you have a qualifying life event.

When you have a qualifying life event and want to change your benefits, you need to log into Paycom and upload proof of the event within 30 days.

Examples of qualifying life events include:

• Marriage (if your spouse falls under certain eligibility rules)
• Birth, adoption or placement for adoption of an eligible child
• Divorce, legal separation or annulment
• Termination or commencement of employment by spouse or dependent
• A child reaching the plan’s maximum age limit (age 26 for medical, dental or vision)