Common use of Hours Required to be Eligible for Benefits Clause in Contracts

Hours Required to be Eligible for Benefits. The Trust requires that employees must be employed by the firm on a permanent basis, with wages subject to withholding that are reported on a W‐2 form. Such employees are eligible to enroll in CalCPA Health if they are actively at work at least 20 hours per week. However, the employer may elect to offer benefits only to those employees working 30 or more hours per week. Note: This election must apply to all members of the firm. If no election is made, the standard for plan coverage will be set at a minimum of 20 hours. Choose one option that will be applicable to all employees: 20 hours per week 30 hours per week Other: Employer Contribution: To obtain and maintain eligibility, the employer must contribute a minimum of 50% of the cost of the Employees' medical premiums, and 100% of the employee’s dental, vision, life or long‐term disability premiums (does not include cost of dependent coverage). What percentage of the Employees’ medical premium does the firm contribute? 50% 100% Other %:

Hours Required to be Eligible for Benefits. The Trust requires that employees must be employed by the firm on a permanent basis, with wages subject to withholding that are reported on a W‐2 form. Such employees are eligible to enroll in CalCPA Health if they are actively at work at least 20 hours per week. However, the employer may elect to offer benefits only to those employees working 30 or more hours per week. Note: This election must apply to all members of the firm. If no election is made, the standard for plan coverage will be set at a minimum of 20 hours. Choose one option that will be applicable to all employees: 20 hours per week 30 hours per week Other: Employer Contribution: To obtain and maintain eligibility, the employer must contribute a minimum of 50% of the cost of the Employees' medical premiums, and 100% of the employee’s dental, vision, life or long‐term long term disability premiums (does not include cost of dependent coverage). What percentage of the Employees’ medical premium does the firm contribute? 50% 100% Other %: Employee Information – CalCPA Health Plans:

Hours Required to be Eligible for Benefits. The Trust requires that employees must be employed by the firm on a permanent basis, with wages subject to withholding that are reported on a W‐2 W1‐2 form. Such employees are eligible to enroll in CalCPA Health if they are actively at work at least 20 hours per week. However, the employer may elect to offer benefits only to those employees working 30 or more hours per week. Note: This election must apply to all members of the firm. If no election is made, the standard for plan coverage will be set at a minimum of 20 hours. Choose one option that will be applicable to all employees: 20 hours per week 30 hours per week Other: Employer Contribution: To obtain and maintain eligibility, the employer must contribute a minimum of 50% of the cost of the Employees' medical premiums, and 100% of the employee’s dental, vision, life or long‐term long term disability premiums (does not include cost of dependent coverage). What percentage of the Employees’ medical premium does the firm contribute? 50% 100% Other %: Employee Information – CalCPA Health Plans:

Hours Required to be Eligible for Benefits. The Trust requires that employees must be employed by the firm on a permanent basis, with wages subject to withholding that are reported on a W‐2 form. Such employees are eligible to enroll in CalCPA Health if they are actively at work at least 20 hours per week. However, the employer may elect to offer benefits only to those employees working 30 or more hours per week. Note: This election must apply to all members of the firm. If no election is made, the standard for plan coverage will be set at a minimum of 20 hours. Choose one option that will be applicable to all employees: 20 hours per week 30 hours per week Other: Employer Contribution: To obtain and maintain eligibility, the employer must contribute a minimum of 50% of the cost of the Employees' medical premiums, and 100% of the employee’s dental, vision, life or long‐term disability premiums (does not include cost of dependent coverage). What percentage of the Employees’ medical premium does the firm contribute? 50% 100% Other %: