Ongoing Eligibility
Standard Measurement Period
For each plan year (January 1 through December 31) there will be a 12-month standard measurement period before the year begins. The standard measurement period for each plan year will end on October 3 immediately preceding the first day of the plan year. For example, for the 2021 plan year, the standard measurement period will begin on October 4, 2019 and end on October 3, 2020.
If you are a regular part-time employee working at least 20 hours per week or a regular full-time employee working at least 40 hours per week, you will remain eligible for benefits as described in the Eligibility section of the SPD.
If you are a regular employee working less than 20 hours and are credited with at least 40 hours per week during the standard measurement period, you will be eligible for medical and prescription coverage as a regular full-time employee for the next plan year. Similarly, if you are a regular employee working less than 20 hours per week who is credited with at least 30 hours per week during the standard measurement period, you will be eligible for medical and prescription coverage as a regular part-time employee for the immediately following plan year.
If you are a direct temporary employee, variable hours employee, or seasonal employee and are credited with an average of at least 30 hours per week during the standard measurement period, you will be eligible for medical and prescription drug coverage for the immediately following plan year, and your contribution rate will be based upon whether you are full-time or part-time during the standard measurement period. If you satisfy the minimum hour requirement during the standard period measurement period, you will be notified after the measurement period ends and will be provided with the opportunity to enroll in coverage for the immediately following plan year.
Transfers
If you transfer to a position that causes you to become eligible for additional plan benefits or qualifies you for a lower medical contribution rate, you will be offered the additional coverage and the more favorable contribution rate immediately upon your status change. Conversely, if you transfer to a position that would ordinarily no longer qualify you for certain benefits, you will continue to be eligible for medical benefits based on your status before the transfer for the balance of the stability period or plan year if you continue to be an eligible employee. However, your employee contributions will adjust to part-time amounts if you drop below 40 hours.
Breaks in Service
If you have a break in service (for example, due to termination of employment or due to taking a non-FMLA leave) during which you are not credited with any hours of service for at least 13 weeks, you will be treated as a new hire upon resumption of service. If the break in service is less than 13 weeks and you were enrolled in healthcare coverage and return during the same stability period or plan year, the coverage will be offered as soon as administratively practicable upon resumption of service. Further, you will be treated as a continuing employee upon resumption of service for purposes of any applicable measurement period.