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0 Martin County Sheriff's Office I Employee Benefit Highlights 12020-2021 Group Insurance Eligibility (Continued) Taxable Dependents Employee covering adult child(ren)under the employee's medical insurance plan may continue to have the related coverage premiums payroll deducted on a pre-tax basis through the end of the calendar year in which the dependent child reaches age 26.Beginning January 1 of the calendar year in which the dependent child reaches age 27 through the end of the calendar year in which the dependent child reaches age 30,imputed income must be reported on the employee's W-2 for that entire tax year and will be subject to all applicable Federal,Social Security and Medicare taxes.Imputed income is the dollar value of insurance coverage attributable to covering each adult dependent child.Contact Human Resources for further details if covering an adult dependent child who will turn age 27 any time during the upcoming calendar year or for more information. Please Note:There is no imputed income if adult dependent child is eligible to be claimed as a dependent for Federal income tax purposes on the employee's tax return. Qualifying Events and Section 125 Section 125 of the Internal Revenue Code Premiums for medical, dental, vision insurance, contributions to Flexible Spending Accounts(FSA),and/or certain supplemental policies are deducted through a Cafeteria Plan established under Section 125 of the Internal Revenue IMPORTANT NOTES � Code and are pre-taxed to the extent permitted.Under Section 125,changesto an employee's pre-tax benefits can be made ONLY during the Open Enrollment period unless the employee or qualified dependent(s) experience(s) a If employee experiences a Qualifying Event, Human Resources Qualifying Event and the request to make a change is made within 30 days of must be contacted within 30 days of the Qualifying Event at the Qualifying Event. (772) 220-7143 to make the appropriate changes to employee's coverage. Beyond 30 days, requests will be denied and employee Under certain circumstances,employee may be allowed to make changes to may be responsible,both legally and financially,for any claim and/ benefit elections during the plan year if the event affects the employee,spouse or expense incurred as a result of employee or dependent who or dependent's coverage eligibility.An"eligible"Qualifying Event is determined continues to be enrolled but no longer meets eligibility requirements. by Section 125 of the Internal Revenue Code.Any requested changes must be If approved,changes may be effective the date of the Qualifying Event consistent with and due to the Qualifying Event. or the first of the month following the Qualifying Event. Newborns are effective on the date of birth.Marriage is effective on the date of Examples of Qualifying Events: occurrence.Cancellations will be processed at the end of the month.In • Employee gets married or divorced the event of death,coverage terminates the day following the death. Employee may be required to furnish valid documentation supporting • Birth of a child a change in status or"Qualifying Event"such as: • Employee gains legal custody or adopts a child • Marriage license • Employee's spouse and/or other dependent(s)die(s) • Divorce decree • Loss or gain of coverage due to employee,employee's spouse and/or • Copies of social security cards for all dependents dependent(s)termination or start of employment • Letter stating gain or loss of coverage and reason why • An increase or decrease in employee's work hours causes eligibility If employee experiences a divorce and is required to keep a former or ineligibility spouse on an insurance plan,the former spouse must be dropped from • A covered dependent no longer meets eligibility criteria for coverage the group plan.Employee may purchase COBRA or a stand alone plan. • A child gains or loses coverage with other parent or legal guardian If employee's former spouse uses the insurance,and the applicable • Change of coverage under an employer's plan carrier determines they are not eligible,employee will be financially responsible for any claims filed during the ineligible time period. • Gain or loss of Medicare coverage • Losing or becoming eligible for coverage under a State Medicaid or CHIP(including Florida Kid Care) program (60 day notification period) 111 2 ©2016,Gehring Group,Inc.,All Rights Reserved