Fillable Benefits Enrollment Notice - New Hire Benefit Eligibility

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Benefits Enrollment Notice - New Hire Benefit Eligibility

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BenefitEligi
bility:YourResponsibilitiesasaNewEmployeeatNSU
CongratulationsonyournewpositionandwelcometoNovaSoutheasternUniversity!Thisnoticecontainsimportantinformation
aboutyourbenefiteligibilityandwhatyou’llneedtodotoparticipateinsomeofthebenefitsprovidedatNSU.
Yourspecialenrollmentwindowtoelectbenefitsasanewemployeeis30days(yourdateofhireplus29days).Benefitinformation
willbepresentedduringNewEmployeeOrientation,ifforanyreasonyoudonotattendorientationyouarestillrequiredtoelect
benefitswithinthe30‐daywindow.
Medical,
dental,vision,flexiblespending,andoptionallifeinsuranceelectionsareirrevocableduringthebenefitplanyearwhich
runsfromApril1
st
toMarch31
st
.Ifyoudonotmakeelectionsduringyourspecialenrollmentwindowyournextopportunityto
electbenefitswillbeduringtheuniversity’sannualOpenEnrollmentinFebruaryforaneffectivedateofApril1
st
.Insomecases,
changescanbemadetoyourbenefitsifyouareexperiencingaqualifiedstatuschangeasdefinedbyInternalRevenueCode125and
theICUBAplandocument.Benefitchangesmadeduetoqualifiedstatuschangesrequiredocumentationwhichmustbeuploadedto
yourEmployeeFileintheICUBABenefitPortalonlineathttp://icubabenefits.org.Incaseswheredocumentationisnotprovidedin
accordancewiththe30dayrequirement,therequesttomakebenefitchangeswillbedenied.
ENROLLING
BenefitelectionsandchangesarecompletedthroughtheNSU/ICUBAEnrollmentPortalonlineathttp://icubabenefits.org.
Benefitsummariesandratescanbefoundonlineatwww.nova.edu/hr/benefits.
Retirementsavingsaccountelectionsaremadeonlineatwww.myretirementmanager.com(andarenotsubjecttothe
specialenrollmentwindow).Formoreinformationvisittheretirementwebpageatwww.nova.edu/hr/benefits/retirement‐
plans.
ELI
GIBILITY
Eligibleemployeesscheduledtowork28hoursormoreperweekcanparticipateinallbenefitplansprovidedatNSU.
Eligibleemployeesscheduledtoworkatleast19.2hours(butlessthan28hours)perweekareeligibleforallbenefi
ts
providedatNSU(excepthealthcarecoverage).
Medical,dental,vision,andflexiblespendingbenefitsareeffectiveonyourdateofhire.
Basicandoptionallifeinsurance,longtermdisabilityinsurance,andeligibilityfortheuniversitysponsoredshortter
m
disabilityprogramareeffectiveaftersuccessfullycompleting90daysofemployment.
Electivedeferralsintothenon‐matchedretirementsavingsaccountwhileemployedatNSUcanbeginonthefirstofthe
monthfollowingyourdateofhire,eligibleemployeesmustbescheduledtoworkatleast19.2hoursperweekandatleast
21yearsofage.
ElectivedeferralsinthematchedretirementsavingsaccountwhileemployedatNSUcanbeginonthefirstofthemonth
followingyourone‐year
anniversary,eligibleemployeesmustbescheduledtoworkatleast19.2hoursperweekanda
t
least21yearsofage.
PREMIUMCOLLECTION
MEDICAL,DENTAL,ANDVISIONPREMIUMSARECOLLECTEDFROMYOURDATEOFHIREBASEDONTHEFOLLOWING
RULES:
Coverageiseffectiveonyourdateofhireregardlessofwhenyoumakeelectionsduringyournewhireenrollmentperiod.
Employeeshiredonthe1stthroughthe15thofthemonthpaypremiumfortheentiremonth.
Employeeshiredonthe16ththroughtheendofthemonthpaypremiumbeginningintheirnextmonthofemploym
ent.
Premiumiscollectedbasedonthepaydatescorrespondingtothemonthofcoverage.
PremiumcollectionforbenefitsisdonethroughcontinuingpayrolldeductionsbasedonthepublishedPayrollcalendar,
dependingonyourhiredateandwhenyoumakeyourelectionsretroactivepremiumcollectionmayberequired.
By signing below I acknowledge my receipt and understanding of this benefit eligibilty notification and my hiring manager or HR
Contact have presented me with the NSU Model Health Insurance Exchange Notice located online for NSU at https://goo.gl/0RxcH5
and Grand Oaks employees at https://goo.gl/xVCglr.
Employee Printed Name
Employee Signature
Date Signed
Employee NSU ID
Hiring Manager or HR Contact Name and Signature
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Benefits Enrollment Notice - New Hire Benefit Eligibility

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Completed 15 November 2019

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