Pre-Tax Benefits

 Cancer Benefits: Colonial Life

 Accident Benefits: Colonial Life

 Medical Bridge Benefits: Colonial Life

Post-Tax Benefits

 Disability Benefits: Colonial Life

 Critical Illness Benefits: Colonial Life

 Accident Benefits – Gunshot Wound Policy: Colonial Life

 Pet Insurance (Direct Billing Only): Nationwide

 Life Insurance

• Whole Life Insurance: Colonial Life

Please note your insurance products will remain in effect unless you see a representative to change them.

ENROLLMENT PERIOD: JANUARY 4, 2021 – JANUARY 29, 2021

EFFECTIVE DATES: MARCH 1, 2021 – FEBRUARY 28, 2022

QUALIFICATIONS:

• – You must work 20 hours or more per week.

IMPORTANT FACTS:

• – The plan year for Colonial Insurance products lasts from March 1, 2021 through February 28, 2022.

• – Deductions for Colonial Insurance products will begin March 2021. The Nationwide Pet Insurance plan is available by Direct Billing only. No deductions will be taken via payroll deduction.

• – If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when meeting with the Benefits Representative.

• – Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change as defined by the Internal Revenue Code. Examples of a family status change are: marriage, divorce, death of a spouse or child, birth or adoption of a child, termination or commencement of a spouse’s employment, or the transition of spouse’s employment from full-time to part-time, or vice-versa.

• – Once a family status change has occurred, an employee has 30 days to notify the North Carolina Service Center at 1-888-662-7500 to request a change in elections.

• – The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until March 31, 2021.

• – Additionally, some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

• – Please be aware there are certain coverages that may be subject to federal and state tax when premium is paid by pretax deduction or employee contribution.