Page 1 - 2019 Micromenders - Brochure PHS
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WHO IS ELIGIBLE
EMPLOYEES
All full-time employees who work weekly on average at least 30+ hours throughout the academic year are eligible for
benefits. Your benefits for Kaiser Medical and Delta Dental are effective the 1st of the month following your hire date or in Summary of
the current month if your date of hire is on the 1st.
Employee Benefits
ELIGIBLE DEPENDENTS
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 apply. Coverage may be
available for a mentally or physically disabled child who is age 26 or older. Requirements for such coverage and
documentation of disability depend on the insurance carrier. Please contact your Benefits Administrator if you believe this
issue applies to your family.
WHEN YOU CAN ENROLL 2019
NEW HIRES/NEWLY ELIGIBLE FOR BENEFITS
When you are first hired or become eligible for benefits, you have 30 days to enroll into benefits. If you do not enroll within
that time frame, you will not be eligible for benefits until next Open Enrollment, unless you have a Qualifying Event.
OPEN ENROLLMENT
During Open Enrollment, you will have the opportunity to make changes to your benefit elections. You must enroll by the
st
Open Enrollment deadline for your Medical benefits to be effective January 1 and Dental benefits on April 1st. Other than
a Qualifying Event, you will not be able to change your elections until the next year’s Open Enrollment.
QUALIFYING EVENTS
If you have a qualifying event, you may be able to change your benefits before the next Open Enrollment. You must notify
Human Resources within 30 days of the event.
QUALIFYING EVENTS
Newly hired as full-time, benefits-eligible employee Birth of a child, adoption, legal guardianship or Your Human Resources Contact
Changing from Part-Time to Full-Time custody.
Loss of coverage for you, your spouse or dependents Change in residence causing loss of coverage Melanie Ovanezian
Change in marital status Qualified Medical Child Support Order (QMCSO)
408-264-1664 ext 2494
movanezian@presentationhs.org
EMPLOYER CONTRIBUTIONS
Carrier Benefit Effective Date Employee Dependent
Kaiser Medical HMO 01/01 100% 0%
Your Dedicated Account Manager Your Dedicated Client Concierge
Gabriela Goncalves Michelle Austin
Delta Dental Dental PPO 04/01 100% 0%
Gabriela@ExpertQuote.com Michelle@ExpertQuote.com
CARRIER CONTACT INFORMATION
To enroll or make changes to your benefits, logon to your Ease link:
Carrier Benefit Phone Number Policy # Website
www.presentationhighschool.ease.com
Kaiser Medical HMO 800-464-4000 48334 http://healthy.kaiserpermanente.org
www.deltadentalins.com
Delta Dental Dental PPO 800-765-6003 08027
Delta Dental Premier Network This guide is intended as a quick reference, not a comprehensive description.
There are limitations and exclusions that can be found in the official plan document.
Benefit Resources FSA 866-996-5200 n/a www.benefitresource.com The official plan document will govern in case of any discrepancies.
