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Benefit Program Participation: <br /> Employee Responsibilities and Agreement <br /> Please be aware that when an employee participates in the SDIRC's benefit <br /> programs, they agree to the following statements: <br /> • Employees are responsible for participating in and completing the online internet <br /> enrollment on their own as a new employee or during each Open Enrollment <br /> period. <br /> • Employees are responsible for carefully reviewing their demographic information to <br /> confirm that the information in the system is correct. <br /> • Employees are responsible for thoroughly reviewing their choices during their <br /> online enrollment and prior to submitting their elections. <br /> • Employees are responsible for entering and reviewing all dependent data, including <br /> the dependents' dates of birth and their Social Security information within the <br /> established enrollment time frames. <br /> • Employees are responsible for submitting applicable benefit changes within 30 days <br /> of qualifying events. <br /> • Employees are responsible for maintaining their personal information, such as <br /> keeping their address and phone number current. - <br /> • Employees are responsible for providing required documentation within 30 days of <br /> coverage to satisfy the eligibility criteria for all enrolled dependents. Otherwise, <br /> dependent coverage will be canceled. <br /> • Employees are responsible for identifying and updating their life insurance <br /> beneficiaries. <br /> • Employees are responsible for reviewing their paycheck stub when their benefits <br /> become effective in order to verify their enrollment election deductions are correct <br /> for the benefits elected. <br /> • Employees are responsible for notifying the Benefits Department immediately <br /> (within 30 calendar days of the effective date of benefits) if payroll deductions are <br /> incorrect and do not correctly reflect the benefit elections made. <br /> • Employees are responsible for participating in the Open Enrollment process <br /> annually. <br /> • Employees are responsible for notifying the Employee Benefits Department <br /> immediately (within 30 days) when a covered dependent no longer meets the <br /> eligibility requirements as defined under the Dependent Eligibility section. 41 <br /> 6 <br />