Enter Email addresses for anyone else who should be on the proof for review.
Enter Email addresses for anyone else who should be on the proof for review.
Tell us any other details needed, or if you need additional products like posters, postcards or PPT templates.
If you work at least 30 hours per week, you are eligible for benefits. Most of your benefits are effective on the first day of the month following your date of hire. You may also enroll your eligible dependents for coverage.
• Your legal spouse or qualified domestic partner
• Children under the age of 26, regardless of student, dependency, or marital status
• Children who are past the age of 26 and are fully dependent on you for support due to a mental or physical disability and who are indicated as such on your federal tax return
Employee Only,
Employee + Spouse ,
Employee + Child,
Employee + Family
This is where you tell other things to include like ID Theft, BTA, Pet Insurance and Travel Assistance, PTO, or any other benefit that is unique to the group.
Will the employer be making a contribution to the employee's HSA? If so, tell us the amounts below. If no, just put N/A.
Will the employer be making a contribution to the employee's HRA? If so, tell us the amounts below. If no, just put N/A.
The Company will match your contribution for each dollar you contribute to the plan, up to the first x%.