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PAGE 118

Unipres U.S.A. Employee Benefits Brokerage and Consulting Services RFP

ABC Company Administrative Documentation

New Hire/Initial Measurement Period

New Hire/Initial Administrative Period

12

consecutive months measured from

date of hire.

30 days

New Hire/Initial Stability Period

Standard Measurement Period

12

consecutive months measured from

the

1

st

of the month

following the Initial

Measurement Period and Initial

Administrative Period.

November 1

st

through October 31

st

of the

subsequent year, beginning with November

1, 2013 through October 31, 2014 and

each year thereafter.

Standard Administrative Period

Standard Stability Period

November 1

st

through December 31

st

,

beginning with November 1, 2014 through

December 31, 2014 and each year

thereafter.

Calendar Year beginning with January 1,

2015 and each year thereafter.

What are the guidelines for when an employee becomes eligible to elect one of the health insurance

coverage options?

Answer: The employee is considered to be a Full-Time Employee.

What is the waiting period and on what day does coverage begin for new and existing employees?

Answer: The Waiting Period is

zero

days.

a.

For new hires in positions in which an employee is expected to work 30 hours or more per

week, coverage begins

the first of the month following Date of Hire.

b.

For new hires in positions in which hours per are variable on a week to week basis and are

not

known or expected to be at least 30 hours per week, coverage is not offered until that

employee averages at least 30 hours or more of service for the initial measurement period,

and coverage would not begin until the first day of the month following a 30-day

administrative/enrollment period thereafter. No coverage would be offered to any

employees who averaged less than 30 hours of service per week during that initial 12

month employment service period.

c.

For current Full-Time, Variable, and Part-Time employees hired between the months of

December 1

st

, 2013 through October 1

st

, 2014 in positions

known

to work 30 hours per

week, coverage will be offered effective January 1, 2015.

d.

For current Variable and Part-Time employees who have averaged 30 hours during the

initial standard measurement period of

November 1, 2013 through October 31, 2014

,

coverage will be offered with the plan year beginning January 1, 2015. [These employees

will continue to be measured each standard measurement period thereafter or until they

are moved into a position known to work 30 or more hours per week]