Summary of Benefits and Enrollment Timelines
|
Benefit Plan |
When can I enroll? |
How long do I have to enroll? |
When can I make changes? |
Are there exceptions to when I can make changes? |
Who do I contact to enroll or ask questions? |
|
Medical Dental Vision Life |
Within 30 days of hire date Open Enrollment |
By the 31st day of employment Preferred within 20 days of hire |
Open Enrollment |
Change in family status (Qualifying Event) You have 31 days from date of event to make changes |
Surest Plan 866-683-6440 American Fidelity – GAP Plan and Health Savings Account 800-365-1314 UMR – PPO Plan and High Deductible Health Plan 800-826-9781 |
|
Voluntary Supplemental Life Insurance (employee, spouse & children) |
Anytime Must work at least 20 hours per week |
For guaranteed issue 60 days from orientation |
Anytime |
After 60-day window, additional coverage is available and subject to approval. Must answer medical questionnaire |
Western Insurance Specialties Cheryl Latham 775-826-2333 |
|
Deferred Compensation Plan - 457 |
Anytime
Must be a full-time employee (WCSDA & WCEA employees are auto-enrolled) |
The entire term of your employment |
Anytime |
No |
VOYA Tom Verducci 775-530-3089 |
|
Defined Contribution Plan - 401(a) |
After 1 year of service as a full-time eligible employee |
90 days from your one- year anniversary |
Never Rate continues for the term of your WC employment |
Hardships – subject to approval |
VOYA Tom Verducci 775-530-3089 |
|
Flexible Spending Plan - 125 |
New hire Open Enrollment |
First of the month following 30 days of employment Open Enrollment: |
Open Enrollment |
Change in family status (Qualifying Event)
You have 30 days from date of event to make changes |
American Fidelity Assurance Co. 1-800-365-1314 or 829-1313 |
|
Employee Assistance Program (EAP) |
Automatic Enrollment |
Automatic Enrollment |
NA |
NA |
Guidance Resources 844-209-0463 www.guidanceresources.com Web ID: WCEAP |
|
Benefit Plan |
When can I enroll? |
How long do I have to enroll? |
When can I make changes? |
Are there exceptions to when I can make changes? |
Who do I contact to enroll or ask questions? |
|
Accident Only Insurance |
First 30 days of hire date
Must work at least 20 hours per week |
First 30 days of employment Open Enrollment |
Open Enrollment |
No
Coverage is subject to approval. |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Voluntary Life Insurance |
Anytime Must work at least 20 hours per week |
The entire term of your employment |
Anytime |
No Coverage is subject to approval. |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Short & Long-term Disability (spousal disability) |
Anytime Must work at least 20 hours per week |
The entire term of your employment |
Anytime |
No Coverage is subject to approval. |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Long-term Care Insurance |
Anytime
Must work at least 20 hours per week |
The entire term of your employment |
Anytime |
After 60 days additional coverage is subject to approval. All family member coverage is subject to approval |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Cancer Protection Plus Series 10 |
First 30 days of hire date Must work at least 20 hours per week |
First 30 days of employment Open Enrollment |
Open Enrollment |
No Coverage is subject to approval. |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Hospital Indemnity and/or GAP Plan |
First 30 days of hire date Must work at least 20 hours per week |
First 30 days of employment Open Enrollment |
Open Enrollment |
No Coverage is subject to approval. |
American Fidelity Assurance Co. 800-365-1314 or 775-829-1313 |
|
Telemedicine |
Automatic Enrollment |
Automatic Enrollment |
NA |
NA |
Teledoc-Self Funded 800-835-2362r DoctoronDemand-Surest 866-683-6440 |
* Information provided on this form is subject to change and may not be complete. For full explanation of benefits available, and conditions thereon, please see each benefit’s plan document, which you can obtain through the contact information above. In all circumstances, benefits described in the plan document will prevail over any information provided on this form. Eligibility for each benefit is subject to individual plan requirements as outlined in the plan document.
Revised 04/2024