2020 Employee Benefits Guide 2020 Employee Benefits Guide | Page 3

Benefit Overview

Welcome to the City of Arlington . This document is intended to provide basic information about benefit plan options available to employees . The City reserves the exclusive right to terminate , amend or modify plans , coverage and cost of employee benefits . This guide is only a summary of benefits . Where disparities exist between this guide and the insurance documents or policies , the documents or policies will govern .
Employee Eligibility
The City offers the opportunity to enroll or change benefits for the following : 1 ) New hire or rehire 3 ) Family status changes ( see page 4 ) 2 ) Annual enrollment 4 ) Promotions to full-time status
Benefit selections are required within 30 days of full-time eligibility . Employees are automatically enrolled in the High Deductible Health Plan with employee-only coverage unless they decline ( waive ) this coverage by completing both an enrollment form and a “ Declination of Medical Coverage Affidavit ” form , and return to HR within the first 30 days of eligibility .
Full-time employees are automatically enrolled in the following
City plans and the required payroll deduction for TMRS : 1 ) Long Term Disability ( LTD ) 2 ) Employee Assistance Program ( EAP ) 3 ) Texas Municipal Retirement System ( TMRS ) 4 ) Basic Term Life Insurance 5 ) TMRS Life Insurance
Social Security Card Name & Number
The City will provide 1095-C tax forms that include the employee and their covered family members enrolled in any City medical plan annually . Employees are required to provide each covered family members ’ Name and Social Security Number as it appears on the family member ’ s Social Security Card .
Medicare Card Requirement
The Centers for Medicare and Medicaid have established coverage rules to determine which plan is considered primary and secondary when an individual becomes eligible for Medicare . Benefits under the City ’ s plans may be reduced when an employee or a covered family member becomes eligible for Medicare based on Federal regulations . It is the employee ’ s responsibility to notify Human Resources of any covered family member ’ s eligibility for Medicare and to provide a copy of the individual ’ s Medicare card ..
Event
Deadline to Enroll
How to Change
Effective Date of Change
New Hire , Rehire or Part-Time to Full-Time Status Change
Family Status Change
Loss of Dependent Eligibility
30 days from hire
30 days from event
30 days to cancel
Contact Human Resources
Contact Human Resources
Contact Human Resources
Date of Hire , Rehire or Full- Time Status for ( M / D / V / FSA / Life / Disability )
** First of Month
** First of Month
* Employees are required to make plan choices annually even when the enrollment choice is “ No Change .”
** For life events other than birth and adoption , the effective date of coverage is the first of the month following receipt of your enrollment form and required documentation as outlined on page 4 , dependent upon when documention is recieved .
* Annual Enrollment
As communicated
Lawson Self Service
January 1 Annually
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