Benefits Enrollment Information. An individual is required to file a Benefits Enrollment Form before either one of two dates. If plans have different eligibility requirements, there will be different entry dates for each benefit if the eligibility requirements are the same, the benefit entry dates will be the same. The Benefits Enrollment Form needs to be filed before any applicable benefit or plan entry dates with certain exceptions applying with respect to special enrollment rights under HIPAA. The form is an agreement between the Participant and the Employer. It specifies the amount a Participant has agreed to contribute towards the cost of benefits in the Salary (or Wage) Reduction Agreement part of the form. Elections to participate under the Health FSA or DCAP programs must be made prior to the beginning of each Plan Year. In the case of newly eligible employees, the Benefits Enrollment Form needs to be submitted to the Plan Administrator in advance of participation in accord with the requirements of each specific plan or program. With respect to premium and/or contribution elections, if an individual fails to elect to have such costs deducted on a pre-tax basis (a) the County's Contribution amount does not apply: and (b) the payment for such premiums contributions by an individual will be on a post-tax basis. If an individual voluntarily elects to have their Contributions applied on a post-tax basis, the County's Contribution still applies.
