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P A G E 2
Who is Eligible?
Benefits Effective Date
How to Make Changes
All full-time employees (who work a minimum of 30 hours or more per
week) and their dependents are eligible to enroll in the company
benefits.
Employees or dependents who choose not to participate in the benefit
program at the time of initial eligibility will be considered late applicants,
subject to the subsequent open enrollment.
New employees will become eligible for coverage on the first day of the
month after 30 days following their date of hire. All elections will remain
in effect and cannot be changed until the subsequent open enrollment
period (usually 12 months) unless a qualifying life event occurs,
described on the cover page.
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. Please see Human Resources to make any
changes.
Dependents
Dependents are defined as your spouse; your adult children (until the
first day of the month following their 26th birthday); your unmarried child
who, before the age of 19, became disabled by a mental or physical
handicap and is incapable of self-support.
Opt-Out Cash Benefit Provision
Mosaic Learning will continue to offer Medical, Dental and Vision plans
on an optional basis. Therefore, you can elect to receive a cash benefit
in lieu of Mosaic Learning provided benefits, if you have medical
coverage elsewhere (you will be required to provide verification of such
coverage). If you choose to opt out and want to re-enter the plans at a
later date, you may be subject to evidence of insurability, unless you
experience a Qualifying Life Event (i.e., marriage, divorce, birth of a
child, etc.). The Opt-Out Cash Benefit results in a savings to Mosaic
Learning and we will share the savings with our employees as follows:
$150/mo ($1,800/yr) for waiver of medical, dental and vision coverage
$130/mo ($1,560/yr) for waiver of medical only or medical AND dental
or vision coverage