Active Enrollment Helpful Feature in Easy Benefits Document

Active Enrollment Helpful Feature in Easy. Benefits – Document Upload Employees who need to remit required documents can upload them directly into Easy. Benefits Ø If you have a problem using this feature, faxing your documents is the fallback option: 321. 617. 7778. Ø If sending paper documents, PLEASE PRINT YOUR NAME & ID# DIRECTLY ON DOCUMENT.

Active Enrollment (cont. ) Required Documents & Affidavits Documents Employees who add a spouse and/or child(ren) for 2021 coverage MUST provide proof of the dependents’ eligibility to the Benefits Office by October 30, 2020 Marriage Birth certificate for spouse certificate or adoption paperwork for child(ren) Affidavits online Medical Plan Affidavit covers: Tobacco Use: asks if employee (and spouse, if applicable) use any tobacco products Once surcharge is incurred, to have it refunded, the employee (and covered spouse, if applicable) must complete the coaching sessions Spouse: if enrolling for medical, confirms if he/she is eligible for benefits from his/her employer. Failure to complete will result in an automatic assessment of the surcharge ($250/mo) Over-age Dependent 26 -30 (Non-disabled) Affidavit Must be completed on-line during enrollment in Easy. Benefits Depending on answers given, eligibility criteria may not be met, and coverage could be denied If eligible for coverage, and enrolling for medical, $358. 88/month surcharge will apply Failure to complete will result in the dependent being dropped from coverage