Enrollment
From medical, dental and vision to additional insurance and voluntary benefits, it’s important to consider all your options and make your 2025 benefits elections on time.
Active Eligibility
All regular full-time employees are eligible to enroll in Personify Health benefits. You must enroll in plans within 30 days of your eligibility date (new hire or status change). All elections except commuter benefits and retirement elections become effective on your eligibility date. Commuter benefits and retirement elections commence on the first of the month following your eligibility date. You may also enroll your eligible dependents, including:
- Your legal spouse or domestic partner
- Your children under age 26 — biological, step or adopted child(ren)
If you are covering a spouse or domestic partner, you will receive instructions following enrollment to confirm their eligibility. Please provide all necessary documentation by the requested deadline. Failure to do so will result in termination of coverage for your covered spouse/domestic partner.
How to Enroll
- Visit ADP
- Review the confirmation statement you receive carefully to ensure it accurately reflects your elections. To make corrections, please contact [email protected].
Dependent Eligibility
Employees with enrolled dependents are subject to an annual dependent verification audit, generally in January each year.
If you enroll a domestic partner in Personify Health benefits, you must complete the domestic partner attestation. Under federal tax law, the value of your domestic partner’s coverage must be included in your gross income and be subject to federal income tax withholding and employment taxes and will be reported on your Form W-2. This includes any portion of the premiums that Personify Health pays for your domestic partner’s health coverage. Applicable state taxes may apply. The Benefits team will send the domestic partner attestation document to impacted employees.
Making Changes During the Year
Once you enroll, you may only make changes to your 2025 benefit elections during the year if you experience a recognized Qualifying Life Event (QLE). Common QLEs and required supporting documentation are listed below. All QLEs except for birth of a child and adoption of a child are processed with an effective date of the first of the month following documentation submission with the requirement to submit documentation within 30 days of the event date. Changes to benefits due to birth or adoption are effective retroactive to the date of birth or adoption. All documentation must be submitted within 30 days of the event date.
| Qualifying Life Event | Required Documentation |
|---|---|
| Marriage | Marriage Certificate |
| Gain of Domestic Partner | Complete Affidavit of Domestic Partnership |
| Divorce | Divorce Decree with date and judge's signature |
| End of Domestic Partnership | Complete Separation of Domestic Partnership form |
| Death of a Dependent | Hospital record or documentation showing date of death |
| Birth | Hospital record or certificate showing date of birth |
| Adoption/Guardianship | Court stamped documentation showing effective date of event |
| Loss of Coverage Elsewhere | Letter from the previous insurer or employer stating who is losing coverage (please list all dependents) and last day of active coverage |
| Gain of Coverage Elsewhere | Letter from the new insurer or employer stating who gained coverage (please list all dependents) and first day of active coverage |
