New Hire/Newly Eligible Employee

EVENT DESCRIPTION: New employee wishes to enroll in EUTF plans

WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from new hire/newly eligible start date

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H:

  1. Marriage Certificate, Civil Union Certificate or Domestic Partnership Forms, if enrolling a spouse/DP;
  2. Social Security Number;
  3. Birth certificate for dependent children;
  4. Student certification from an accredited school on school letterhead with registrar’s signature confirming full-time status or certificate from the National Student Clearinghouse, within 45 days from date of hire if enrolling a dependent(s) ages 19 through 23, in dental and/or vision.

EFFECTIVE DATE: Employee can choose: The Event Date, first day of the pay period following the Event Date or first day of the 2nd pay period following the Event Date.

CHANGES ALLOWED TO PLANS?: N/A