QUALIFYING LIFE EVENTS

Transferring Employers

If you are transferring from a one PGB client to another, some benefits may be eligible for transfer. Please call our Service Center at 888-662-7500 for more information and assistance.

Loss of Government or Education Sponsored Health Coverage

Entitlement to Medicare or Medicaid

If you, your spouse, or a dependent loses coverage under any group health coverage sponsored by a governmental or educational institution, you may be eligible to add additional coverage for eligible benefits.

You may lose the opportunity to transfer benefits.

Non-FMLA Leave

If you, your spouse, or dependent becomes entitled to or loses coverage under Medicare or Medicaid, you may be able to change coverage under the accident or health plan.

You and your dependents are not eligible until the next annual Open Enrollment required.

Retiring

An employee taking a leave of absence, other than under the Family & Medical Leave Act, may not be eligible to re-enter the Flexible Benefits program until next plan year. Please contact your Benefit Administrator for more information.

You and your dependents are not eligible until the next annual Open Enrollment required.

Your individual supplemental/voluntary policies through Colonial Life are portable! To move them from payroll deduction to direct billing, please complete and submit the Payment Method Change Form to Colonial Life within 30 days of retiring. You are also eligible for post-employment Dental, Vision, and Telemedicine benefits through PGB. Please visit: www.piercegroupbenefits.com/ individualcoverage or call our Service Center at 888-662-7500 for more information and assistance.

You and your dependents are not eligible until the next annual Open Enrollment required.

If you do not transfer your policies from payroll deduction to direct billing, Colonial Life will terminate your policies resulting in a loss of coverage.

The examples included in this chart are not all-inclusive. Please speak to a Service Specialist to learn more.

ONLINE & IN-PERSON

During your open enrollment period, a PGB Benefits Representative will be available by appointment to meet with you one-on-one to help you evaluate your benefits based on your individual and family needs, answer any questions you may have, and assist you in the enrollment process. If you prefer, you may also self-enroll online following the instructions on the next page of this guide.

OPEN ENROLLMENT PERIOD:

JULY 18, 2023 - JULY 21, 2023

Benefit Election Options

YOU CAN MAKE THE FOLLOWING BENEFIT ELECTIONS DURING THE OPEN ENROLLMENT PERIOD:

• Enroll/Re-Enroll in Flexible Spending Accounts+

• Enroll in, change or cancel Dental Insurance.

• Enroll in, change or cancel Vision Insurance.

• Enroll in, change or cancel Group Term Life Insurance.

• Enroll in, change or cancel Long-Term Disability Insurance.

• Enroll in, change or cancel Telemedicine coverage* (DIRECT BILLING ONLY**).

• Enroll in, change or cancel Colonial coverage.

+You will need to re-enroll in the Flexible Spending Accounts if you want them to continue each year.

*Please see the coordinating pages of your Benefits Guide for enrollment instructions for the Telemedicine plan. **The Telemedicine plan is available by Direct Billing only. No deductions will be taken via payroll deduction.

ACCESS YOUR BENEFIT OPTIONS WHENEVER, WHEREVER

You can view details about what benefits your employer offers, view educational videos about all of your benefits, download forms, chat with one of our knowledgeable Service Center Specialists, and more on your personalized benefits website. To view your custom benefits website, visit: www.PierceGroupBenefits.com/EastWakeAcademy