Enrollment All eligible team members must enroll online through Oracle Employee Self Service. Things to Consider Qualifying Life Events Include: Before you enroll, it is a good opportunity for you to Enrollment changes based upon a qualifying life event assess your bene昀椀t needs. must occur within 30 calendar days of that event.* (For » Does your spouse have bene昀椀ts coverage available Example: If you get married on March 1st, you must enroll no later than March 30th.) through another employer? » Did you get married, divorced or have a baby » Change in your FTE status from part-time to full-time or full-time to part-time that results in a recently? If so, do you need to add any dependent(s) signi昀椀cant increase or decrease in your premiums or add your bene昀椀ciary designation? » Did any of your children reach his or her 26th birthday (medical or dental) » Change in your legal marital status (marriage this year? If so, they are not eligible for bene昀椀ts. and divorce) » Change in the number of your dependents (for Your Eligible Dependents for Core example, through birth or adoption, or if a child is Benefits Enrollment no longer an eligible dependent) Dependents eligible for coverage in the FMOLHS Bene昀椀t » Change in your spouse’s employment status Plans include: » Your legal spouse. (resulting in a loss or gain of coverage) » Your dependent children up to age 26 (includes » Change in your employment resulting in a gain or loss of coverage stepchildren, legally-adopted children or children » Entitlement to Medicare or Medicaid* placed with you for adoption, foster children and *If you become eligible for or lose coverage under Medicaid or a state child health plan, grandchildren for whom you have legal custody). you must enroll or terminate coverage within 60 days. » Your dependent child, regardless of age, provided he or she is incapable of self-support due to a mental or physical disability, is fully dependent on you for support as indicated on your federal tax return, and is approved by your Health Plan to continue coverage past age 26. » Please note that veri昀椀cation of eligibility will be required once dependents are enrolled. See page 8 for dependent veri昀椀cation requirements. Note All eligible Team Members must enroll within 30 calendar days of new hire/new eligibility date. 7