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P A G E 2

Who is Eligible?

How to Enroll

Benefits Effective Date

How to Make Changes

All active full-time employees who work a minimum of 30 hours or more per

week (and their eligible dependents, including dependent children up to age

26).

Humanim offers employees access to a convenient online benefits enrollment

site. It’s a fast and easy way to enroll in your benefits for you and your family.

To help for a successful online enrollment, use this Enrollment Worksheet on

page 15 of this guide. Your enrollment is just a point and click away.

Benefits for newly hired employees as well as existing part-time or relief

employees who change to full-time status, have 30 days from their date of hire

or status change date to enroll in the benefit plans. Benefits become effective

on the first day of the month following 60 days of continuous full-time

employment.

If you have a qualified change in life status (birth, adoption, marriage, divorce,

death) which creates the opportunity to change your benefit elections mid-

year, you have 30 days from the date of the life event to request the change

on Humanim’s benefits Online Enrollment System

( www.cbizesc.com/ humanim )

and submit supporting documentation.

Dependents

Dependents are defined as the dependent child(ren) of you or your spouse and

includes natural child(ren), stepchild(ren), legally adopted child(ren), child(ren)

placed for adoption, and child(ren) or grandchild(ren) for whom you or your

spouse have legal custody or testamentary or court appointed guardianship.