ELIGIBILITY & ENROLLMENT
Eligibility
All full-time employees who work 30 regularly scheduled hours a week can participate. Newly hired employees will have a waiting period of 30 days.
Please note, you have 30 days for qualifying status changes. If you do not notify HR within 30 days of the qualifying status change, you will have to wait until the following open enrollment period to enroll for benefits.
Click here or refer to the document in resource box for additional information on eligibility.
Your Personal Information
You will need to include personal data in your enrollment information, including your:
- Social Security Number
- Dependents (name, date of birth and Social Security Number)
- Primary Beneficiary
- Any Secondary Beneficiaries
- Spouses
Dependents
The federal government, through the Affordable Care Act, has passed legislation extending the eligibility age for dependents to remain covered under their parents’ group health insurance coverage to age 26.
The Myers Industries, Inc. plan is a Non-Grandfathered health plan; therefore, eligible dependents must:
- Be the natural child, stepchild, adopted child or foster child of the insured, subscriber or covered employee;
- Have not yet reached their 26th birthday.
- Disabled Dependent Children OVER age 26
- Children who are mentally or physically disabled and totally dependent on the employee for support, and over the age of 26.
Spouses
Spouses who are offered medical coverage from their employer will not be eligible to participate in the Myers Industries medical plan.
Resources
How to Enroll:
The decisions you make regarding your benefits will affect you for an entire plan year.
It is important to read all of the benefits information carefully. If you are enrolling as a new hire or making a change to your coverage after the annual enrollment period, follow the steps below to make your elections:
Step 1:
Complete your enrollment in Dayforce.
Step 2:
If you are waiving coverage, check “decline” during the enrollment in Dayforce.
Changing Your Selection:
IRS regulations state that contributions associated with the choices you make during this enrollment period must stay in effect for the entire plan year – unless you have a change in family status. Please note, employees have 30 days from the life event to notify HR of a change. You will need to provide documentation of the life event. A change in family status occurs if:
- You marry or divorce
- You experience the death of a spouse or dependent
- You have or adopt a dependent
- You or your spouse begin or end a job
- You or your spouse change from part-time to full-time, or from full-time to part-time status
- Your spouse’s coverage is terminated
Any change in benefits must be consistent with your status change.
It is critical that you notify us within the allowable waiting period. Failure to do so may affect your ability to make changes. For example, if you have a child and do not add that child to your coverage within the 30-day period, you may have to wait until the next open enrollment period to insure that child.
DEFINITIONS
Here are some definitions that will help you better understand your plan options.
Deductible: A deductible is the amount of money you must pay each year toward your medical expenses before the plan will begin paying its portion of covered expenses.
Copayment: Also known as a copay. The specific dollar amount for covered services for which you are responsible, as indicated in the schedule of benefits.
Coinsurance: Coinsurance refers to the amount of your medical expenses you pay once you have met your annual deductible.
Out-of-Pocket Maximum: There is a limit to how much you will be asked to spend out of your own pocket toward your eligible medical expenses in any given year. Once you have met this limit, the plan will pay any remaining reasonable and customary covered services for the year at 100%
Reasonable Fees: Reasonable fees reflect the “going rates” for specific medical treatments and services in a particular geographical area. Insurance plans use these as a basis for paying claims. If doctors and hospitals charge rates higher than the reasonable fees, or are not in-network, most insurance plans will not cover the excess amounts and participants become responsible for those charges. The charges in excess of the reasonable fees do not accumulate toward your out-of-pocket maximum.
