Eligibility

1.

1 point

Information required by BenefitConnect for verification of legal spouse, is Federal Tax return within the last 2 years, or proof of joint ownership issued within the last 12 months (typically accepted are mortgage, rental/lease, or utility), or

religious issued Marriage Certificate

government issued Marriage Certificate

2.

1 point

What is the amount charged for Spousal Surcharge?

$125 per month or $1,500 annually.

$150 per month or $1,800 annually.

$100 per month or $1,200 annually.

$130 per month or $1,560 annually.

3.

1 point

How many hours per week is an employee budgeted to work to be eligible for full-time medical and pharmacy benefits?

20

40

39

19

4.

1 point

How many hours must an employee be budgeted to work to be eligible for part-time medical and pharmacy benefits?

19 hours

40 hours

Between 10 - 19 hours per week

Between 20 - 39 hours per week

5.

1 point

Dependent eligibility will be verified through BenefitConnect. Dependents will need to be verified if:

They were covered in 2016 just for dental.

They were covered in 2016 just for vision.

They were not covered in 2016 and are being added in 2017.

They were covered in 2016 just for medical.

6.

1 point

Eligible child means

Children of employee & children of spouse under 26 years old.

Children of employee only/not children of spouse under 26 years old.

Mentally or physically disabled children first covered after age 26.

Children who are not biological, legally adopted, or foster children.

7.

1 point

Besides Eligible Child, another eligible dependent is

Domestic partner

Someone you have lived with for over seven years.

Someone you have lived with for over one year.

Legally married spouse.

8.

1 point

Spousal surcharge means

Added cost to cover spouse who does not reside in same household.

Added cost to cover spouse who has his own coverage.

Added cost for working spouse who declines his employer's coverage.

Added cost for spouse who has his own coverage with his employer.

9.

1 point

Dependent eligibility will be verified through BenefitConnect. Dependents will need to be verified if they are being added for the first time in 2017, or if they were covered in 2016, but

no Social Security Number was provided for them.

had no claims ever submitted for them.

was missing a birthdate.

did not have a complete address

10.

1 point

Information required by BenefitConnect for verification of biological child is

Church issued Birth Certificate.

Government issued Birth Certificate.

Birth Announcement.