Eligibility

RGMs, Assistant Managers and Full Time Above Restaurant Leaders are eligible to participate in the plan on the first of the month following 60 days in position.

Team Members, Shift Managers and Part Time Above Restaurant Leaders are eligible to participate in the plan after 1 year of employment and average 30 hours or more during their measurement period.

Qualifying Life Events

Legislation regulates eligibility requirements for dependent coverage on Medical insurance plans. It is important for everyone to understand what constitutes eligibility and what the implications could be for not following the eligibility guidelines.

Examples of Eligible Dependents includes:

Legal Spouse
Dependent children

Healthcare reform legislation restricts a plan or issuer from denying coverage for a child under age 26 based on any of the following factors:

Financial dependence on the employee
Residency with the employee
Student status
Marital status
Employment status

When you first enroll, and/or if you change coverage mid-year due to a qualifying event, you may be asked to provide the applicable documents from the following list:

Verification Documentation:

Marriage Certificate
Birth Certificate
Court Documents awarding custody or requiring coverage

You can provide these documents to your Benefits Department.

The adult child’s spouse is not eligible for coverage. In some circumstances and for a limited time period, the newborn of an enrolled adult dependent may be covered. For adult children age 26, the State of Florida has adopted legislation allowing for extended coverage up to age 30, but under more limited conditions such as the child must reside in Florida or be a part-time or full-time student and must be unmarried with no dependent child(ren) of his/her own. In addition, they cannot be covered under another group or franchise plan, student or individual plan, or be Medicare eligible.