2021 Employee Benefits Guide 2021 Employee Benefits Guide | Page 8

If you have medical coverage under another plan , you may choose to decline ( waive ) the City ’ s medical coverage . To do so , you must submit a Declination of Medical Coverage Affidavit form to employeebenefits @ arlingtontx . gov and you must also decline in Lawson during the new hire / annual enrollment period .
Some examples of other coverage may include : - Your spouse ’ s or parent ’ s insurance plan - A government insurance program - An individual policy or other group coverage

I M P O R T A N T

N O T I C E S

D E C L I N I N G M E D I C A L C O V E R A G E

If you have medical coverage under another plan , you may choose to decline ( waive ) the City ’ s medical coverage . To do so , you must submit a Declination of Medical Coverage Affidavit form to employeebenefits @ arlingtontx . gov and you must also decline in Lawson during the new hire / annual enrollment period .

Some examples of other coverage may include : - Your spouse ’ s or parent ’ s insurance plan - A government insurance program - An individual policy or other group coverage

IF Y O U DO N O T E L E C T OR D E C L I N E B E N E F I T S W I T H I N Y O U R F I R S T 30 DAYS OF E M P L O Y M E N T OR D U R I N G A N N U A L E N R O L L M E N T Y O U W I L L BE A U T O M A T I C A L L Y E N R O L L E D IN T H E E M P L O Y E E - O N L Y V A L U E H E A L T H P L A N

H O M E A D D R E S S U P D A T E S

For New Hires , when electing benefits it ’ s very important that your home address information is up to date so that you can receive required notices , insurance cards , tax information and more . Review in Lawson Employee Self-Service before electing benefits to be sure your address information is up to date and be sure to let Human Resources know anytime it changes .
For current full-time employees , you will have the ability to update or confirm your home address information during the online annual enrollment process .
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
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