Benefit Eligibility

Benefit Eligiblity

WHO IS ELIGIBLE FOR BENEFITS?

If you are a Full-Time employee working at least 30 Hours per Week (unless otherwise mandated by state law), you are eligible to participate in the Wesley Woods Senior Living’s benefits. You have 30 days starting from your hire date to make your elections. You may also cover eligible dependents under many of Wesley Woods benefit plans. Eligible dependents include: legal spouse, children up to age 26 whether natural, adopted, stepchildren, or those for whom you have legal custody by court decree, totally disabled children of any age who are unmarried and are physically or mentally incapable of self- support and dependent upon you for support.

WHEN DOES COVERAGE BEGIN?

The effective date for Wesley Woods’ benefits is January 1st , 2026, and the elections you make during Open Enrollment will remain in effect until December 31, 2026. All elections are in effect for the entire plan year and can only be changed during Open Enrollment, unless you experience a qualifying life event (QLE). Newly hired employees and dependents will be effective on Wesley Woods’ benefits programs on the first day of employment. The benefits listed in this guide will be effective on the first day of employment. For example, if you were hired on March 15th your enrollment would need to be completed before or on March 30th. Your coverage effective date would be March 15th.

OPEN ENROLLMENT

Open Enrollment elections are effective January 1st 2026, and stay in effect until December 31, 2026, unless you experience a Qualifying Life Event.

Most benefit deductions are withheld from your paycheck on a pre-tax basis (Medical, Dental and Vision), and therefore your ability to make changes to these benefits is restricted by the IRS.

QUALIFYING LIFE EVENTS

To be eligible to make benefit changes to your benefits, you must notify the Human Resources Department within 30 days of the date of the qualifying event. Proof of your life event may also be required. Changes outside of the 30-day period are not allowed until the next annual Open Enrollment period, unless you experience another qualified Life Status Change. To make benefit changes as a result of a qualifying life event as allowed under Section 125 of the IRS Code, you must:

  • Notify the Human Resources Department within 30 days of the date of the qualifying event
  • Provide proof of your life status event

THE MOST COMMON QUALIFYING LIFE EVENTS

  • Marriage, divorce, legal separation
  • Birth or adoption
  • Change in your or your spouse’s work status that affects your benefits or an eligible dependent’s benefits
  • Change in health coverage due to your spouse’s annual Open Enrollment period
  • Change in eligibility for you or a dependent for Medicaid or Medicare
  • Receipt of a Qualified Medical Child Support Order or other court order