Waiver of Benefits
If you waive medical and/or dental coverage and wish to receive money back under the eFunds plan, you will be required to provide confirmation of existing coverage. Confirmation of existing coverage elsewhere must be sent to the Benefits Department on letterhead from the Company providing insurance or a copy of your current medical and/or dental card. This documentation must be received by Friday, November 22, 2002. If this documentation is not received by the previously mentioned deadline, you will forfeit your right to collect waiver premium. There is no waiver premium associated with any other plan options.

Medical Waiver Premiums

Full-time employees are eligible to receive $600 of taxable income per calendar year.

  • $25.00 / 24 pay periods
  • $23.08 / 26 pay periods

Part-time employees are eligible to receive $300 of taxable income per calendar year.

  • $12.50 / 24 pay periods
  • $11.53/ 26 pay periods

Dental Waiver Premiums

Full-time employees are eligible to receive $100 of taxable income per calendar year.

  • $4.17 / 24 pay periods
  • $3.85 / 26 pay periods

Part-time employees are eligible to receive $50 of taxable income per calendar year.

  • $2.08 / 24 pay periods
  • $1.92 / 26 pay periods

To opt back into the plans, you must experience a change in family status. Changes in family status include:

  • Marriage
  • Divorce or legal separation·
  • Birth or adoption of a child·
  • Dependent child's loss of eligible dependent status under the plan
  • Death of your spouse or a dependent
  • Change of employment status for you or your spouse
  • Change in place of residence or worksite
  • Qualified Medical Child Support Order (QMCSO)
  • Entitlement to Medicare or medical benefits

Proof of these events is required and should be attached to the Family Status Change Form. Examples of proof are: a copy of a birth certificate or adoption placement paperwork for a new dependent child, a copy of a marriage license for a marriage, a copy of the divorce decree for a divorce, etc. If you have questions about proper supporting documentation, please email Benefits@eFunds.com.

These changes must be consistent with the event. Example: If you are covered under a spouse's insurance plan, and you are enrolled in the medical and dental options, and that coverage is lost, you can only elect medical and dental coverage under the eFunds plan.

If you experience a change in family status and wish to change your benefits, you must complete the Family Status Change form located under the Forms link in eServe. You must make any benefit changes resulting from a change in family status within 31 days of the event.
The information about benefits shown here is only a brief overview, providing highlights of the eFunds welfare benefit plans. If there are any differences between this overview and the official plan documents, the plan documents will govern. eFunds reserves the right to amend or terminate the welfare benefit plans for any reason and in its sole discretion, and you would be subject to such amendments or termination. For more information contact the Benefits Department.