Page 1 - 2019 Micromenders Flip Brochure
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Employee Benefits
                  Summary of

                              coverage  and                2018-2019                              Controller      Stephen Lu        415-808-0630      Stephen.Liu@micromenders.com       $395.00      $435.00         $415.00         n/a  Your Dedicated Account Manager  Your Dedicated Client Concierge  Ana Garcia                                   Gabriela Goncalves   (408) 659-8405  (408) 213-5084  Ana@ExpertQuote.com  Gabriela@ExpertQuote.com   This guide is intended as a quick reference, not a comprehensive description.   This guide is intended as a quick reference, not a comprehensive description.   There are



                              such                                                         EE + Child(ren)  EE + Family           Website  http://healthy.kaiserpermanente.org   www.anthem.com    www.deltadentalins.com   www.vsp.com   www.lfg.com

                              for                                                              $210.00   $245.00   $230.00   EE + 2 or more   $44.00   $10.50
                              Requirements                               Birth of a child, adoption, legal guardianship or     Change in residence causing loss of coverage  Qualified Medical Child Support Order (QMCSO)     n/a







                                                                 event.
                              older.   or   26                             custody.        EE + Spouse   $240.00   $265.00   $255.00   EE + 1   $22.00   $4.50   n/a   Policy #   709197     J62091    J62090   80186    12285191    10048578     10048581


          WHO IS ELIGIBLE  All full-time employees who work weekly on average at least 30+  hours  throughout the year are eligible for benefits.  Your  benefits for Kaiser and Anthem Medical, Delta Dental and VSP Vision are effective 1st of the month following the date of  hire; Lincoln Life and LTD are effective on hire date if hired on the 1st, or 1st of the month following hire date.  Your eligible dependents include your legally married spouse, registered domestic partner, and  children. Due to Health Care  Reform, your medical plan covers dependents to age 26.  However, for other plans, age limits may a












                              disabled   child                   the   of                 Effective   Date   05/01




                              physically                         days         Loss of  coverage for you, your spouse or dependents   Benefit   Kaiser   Anthem    Allied-Delta Dental   VSP   Lincoln




                              or  mentally   NEW HIRES/NEWLY ELIGIBLE FOR BENEFITS   30   within  Newly  hired as full time benefits eligible employee  Changing from Part-Time to Full-Time   Benefit   Medical HMO   Medical HMO   Medical PPO   Benefit   Dental   Vision   Life and AD&D   LTD






            EMPLOYEES     ELIGIBLE DEPENDENTS   a   for  available   issue applies to your family.      OPEN ENROLLMENT     QUALIFYING EVENTS    Resources  Human           Change in marital status         Carrier   Kaiser    Anthem    Carrier   Delta Dental   VSP   Lincoln      Carrier   Medical HMO   Medical PPO   Medical HMO   Dental   Vision   Life and AD&D   LTD
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