Benefits Implementation phases: July 2007 for New-Hire enrollments August 2007 for Open Enrollment elections Approximately January 2008 for: Qualified Life Events changes; Leaves of Absence requests. Interim change and leave of absence processes will continue to be “paper” forms available at www. <add web address> Declaration for Change Form New Leave of Absence Form How does an employee with a hire date during the year figure out their forfeiture date this year?

Declaration of Change

Leave of Absence Form

Benefits Most benefits will be effective the first of the next pay period. Dependent and beneficiary information can be: Viewed online in July; Updated online during Open Enrollment (Aug – Sept); Before and after Open Enrollment, changes can be made using the interim Declaration of Change form. Approximately January 2008, changes can be made online. Premiums will be withheld: 26 pay dates for employees being paid on a 12-month schedule; Less pay dates for employees on 8-, 9-, or 10-month pay schedules; Additional pre-collected benefits deductions to cover the summer months will be withheld beginning January of each year. How does an employee with a hire date during the year figure out their forfeiture date this year?

Pre-Collected Health Premiums Sample