Enrollment Resources
Our employees are our most valuable resource and we have built a benefit program to best support you and your family.
NEW HIRE/NEWLY ELIGBILE BENEFITS OVERVIEW
2022 New Hire Benefits PDF Presentation. Click below.
NEW HIRE/NEWLY ELIGBILE BENEFITS OVERVIEW
2022 New Hire Benefits Recorded Presentation. Click below.
RESOURCE LIBRARY
ELIGIBILITY REQUIREMENTS
Eligibility Requirements
You are eligible to enroll in the Plan if you are a regular full-time employee who is scheduled to work at least 30 hours per week. New hire and rehire employees are eligible to participate in benefits the first of the month following the date of hire. If you are hired on the first of the month, benefits are effective the same day. See the table below for waiting period by benefits.
BENEFIT | ELIGIBILITY BEGINS.. |
---|---|
Medical | First of the month following the date of hire |
Dental | First of the month following the date of hire |
Vision | First of the month following the date of hire |
Spending Accounts | First of the month following the date of hire |
Life and AD&D | First of the month following the date of hire |
Short-Term Disability | First of the month following the date of hire |
Long-Term Disability | First of the month following the date of hire |
Voluntary Benefits | First of the month following the date of hire |
ELIGIBLE DEPENDENTS
You may also elect medical, dental, vision and voluntary life/AD&D coverage for your eligible dependents. An eligible Dependent is considered to be your:
- Legal spouse or domestic partner
- Natural child, step-child, or adopted child, of the associate or eligible domestic partner, or child for whom the associate or eligible domestic partner is the legal guardian, legally placed with the associate or eligible domestic partner for adoption, or supported pursuant to a court order imposed on the associate or eligible domestic partner up to age 26 regardless of student status or marital status, financial dependence on parents, residency with parents, or eligible for coverage under another health plan.
If enrolling dependents under your coverage, refer to the Dependent Verification section.
Note: Your dependents may not enroll in the plan unless you are also enrolled. If you and your spouse are both covered under the company’s benefit plan, you may each be enrolled as a participant or be covered as a dependent of the other person, but not both.
REQUIRED DOCUMENATION FOR DEPENDENT VERIFICATION
(Click Link Below)
CA Times – Required Documentation for Dependent Verification
AFFIDAVIT OF DOMESTIC PARTNER GUIDELINES
(Click Link Below)
Affidavit of Domestic Partner and/or Domestic Partner Child(ren) Qualifcation and Guidelines
EXPERIENCING A MAJOR LIFE EVENT?
Making Changes During the Year
The choices you make during Open Enrollment remain in effect for the entire year (January 1 – December 31). In order to make changes to your healthcare elections during the year, you must have a qualified family status change. Qualified family status changes allow you to add or drop dependents or change your level of coverage. Qualified change events must be reported to Empyrean within 31 days of the date of event
Important: If you do not notify Empyrean Benefits Administrator within 31 days of the qualifying event, you will need to wait until the next open enrollment period.
A qualified change in status is an event that affects eligibility for you and/or your dependents under the California Times benefit program and can include any of the following events:
- Your marriage;
- Entering into a domestic partner relationship;
- The birth, adoption, or legal guardianship of a child;
- You and/or your covered dependents gain other benefits coverage;
- You and/or your eligible dependents losing other benefits coverage;
- Your legal separation or divorce;
- Ending a domestic partner relationship;
- Your dependent child losing eligibility for California Times benefits coverage;
- The death of a covered family member;
- You move out of a medical or dental service area; or
- A change in dependent care providers or fees
The change to your benefit election(s) must be consistent with your change in status.