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June 17, 2005

Q&A: How employment status changes affect your benefits

1. What happens to my benefits if I change jobs within UPMC?
Many job changes within UPMC will have no impact on your benefits. If you stay in the same employment status — full-time, part-time, or casual — your benefits will generally stay the same. However, changes in employment status, such as going from full-time to part-time or casual status, can and often do impact your benefits due to changes in employee contributions and benefit eligibility.

2. What if I have an employment status change that affects my benefits?
If your employment status change impacts your cost for coverage or eligibility, you will receive notification after the status change is processed by Human Resources. An alert will appear on My HUB advising that you have an open event, and a benefit enrollment packet will be mailed to your home.

You need to log on to My HUB to process your status change event. You should process your elections as soon as possible to help avoid a gap in coverage and/or retroactive benefit deductions.

If you have any questions about how your status change will affect your benefits, call the Employee Service Center at 1-800-994-2752, option 3.

3. What types of employment status changes have an effect on my benefits?
Changing from casual to full-time or part-time status will allow you to elect benefits for the first time.

Changing from full-time to part-time status changes your cost for coverage. You are required to make an election
to continue coverage at part-time rates or to waive coverage.

Changing from full-time or part-time to casual status makes you ineligible for UPMC’s health and welfare benefits. If you were enrolled in medical, dental, or a health care flexible spending account and you change to a benefit-ineligible status, such as casual, you will be sent a COBRA continuation packet. The COBRA notice provides you the right to continue your current medical and/or dental coverage at your expense for up to 18 months. You must return the COBRA election form and pay for the coverage to continue your benefits. Remember, you do not process COBRA continuation in My HUB.

4. What if my spouse or dependent experiences an employment-related status change?
If your spouse or dependent experiences a job status change with their employer that affects their benefit eligibility, you may be permitted to make changes to your benefits. Employment status changes include start or termination of employment, significant change in the cost for their coverage, or a change in home address that affects the medical and dental plan network service area.

5. When may I make changes to my benefit coverage if I or my dependent experiences an employment status change?
You may make the change to your benefit coverage within 30 days of the status change. If you do so, your
coverage change will be effective on the date of the status change.

If you notify the Employee Service Center between 31 and 60 days, coverage changes will take effect on the first of the month after your notification. If you do not contact the Employee Service Center within 60 days of the status change, you must wait until the next annual enrollment to make changes, unless you once again meet one of the conditions for a midyear change

If the change relates to a change in your employment status with UPMC, check My HUB to see if you have an alert. If no alert exists, contact the Employee Service Center at 1-800-994-2752, option 3.

Any time you have a question or need additional information about how a change in job status or a qualifying event will affect your benefits, you should contact the Employee Service Center at 1-800-994-2752, option 3. You also can refer to the Changing Your Coverage section of the UPMC Welfare Benefits Plan Summary Plan Description (SPD). The SPD is available through Benefits section of Infonet (http://benefits.infonet.upmc.com) or My HUB. Select the Medical link, then “Go to Summary Plan Description.”

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