If you do not enroll for benefits within 31 days of your eligibility date, you will be defaulted into the coverages below. You will be responsible for paying all benefit premiums from the date that they became effective. These deductions will begin on the first paycheck following the benefit enrollment date, or as soon as administratively feasible. Arrears may be applied.
†All other benefit options will be considered waived.
*The tobacco surcharge will apply unless an affidavit and annual Tobacco Screening Test, resulting in negative results, is completed at Employee Health.
**All eligible employees will be defaulted into the 3% contribution rate and will increase 1% each year, if no election is made, until 10% is reached.
