Health and Welfare Summary Plan Description

• Health and Welfare SPD / Article VI / Enrollment and Termination of Coverage >>

6.4 Special Enrollment.

You may enroll a Dependent at a time other than your initial or rolling open enrollment under the following circumstances:

1. if you marry or enter into a domestic partnership, you may enroll your new Spouse or Domestic Partner within 30 days of your marriage or domestic partnership;
   
   
2. if you have a Child by birth, adoption or placement for adoption, you may enroll your new Child within 30 days of the Child's birth, adoption or placement for adoption;
   
   
3. if your un-enrolled Dependent loses other health insurance coverage, you may enroll that Dependent in the Plan within 30 days of the date that the other coverage ends;
   
   
4. if you lost coverage due to an insufficient Hour Bank balance, then later reestablished coverage under Section 3.2 after earning additional hours of Covered Employment, you may enroll any un-enrolled Dependent during the 30-day period beginning on the first day of the month for which your coverage is reestablished.
   
   The special enrollment rules of this section shall be applied consistent with the provisions of Treasury Regulation §54.9801-6 (except as expressly modified otherwise).
   
   Exception. There is a $100 penalty for Participants who fail to add or reinstate Dependents within 30 days; however, retroactive application is limited to the time period the insurer would permit retroactivity.