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BENEFITS

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PAUL GRAHAM DRILLING

2022 OPEN ENROLLMENT INFORMATION COMING SOON

2022 Benefits Open Enrollment runs from 12/03/2021 - 12/23/2021

 

BEFORE YOU BEGIN, PLEASE BE SURE YOU HAVE THE FOLLOWING:
We are going paperless again and utilizing an online tool called Ease designed to help you complete your application or waiver for coverage.
Keep an eye out for Open Enrollment Information arriving soon by Email from noreply@ease.com.
YOUR DATE OF HIRE AND JOB TITLE
SSN, DATE OF BIRTH AND ADDRESSING OF ALL ENROLLING
IF APPLICABLE, MEDICARE ID NUMBER AND EFFECTIVE DATE, CURRENT CARRIER NAME, POLICY NUMBER AND START DATE, PRIMARY CARE PHYSICIAN INFORMATION.

Please review this checklist prior to completing your Benefit Elections/Changes.

Warning Box



NOTE: If supporting documents are required for your election/change, AND NO DOCUMENTION IS RECEIVED WITHIN 7 DAYS IN THE BENEFITS OFFICE, YOUR ELECTION/CHANGE WILL NOT BE APPROVED!

For Medical and/or Dental Enrollment:

If enrolling a spouse – a copy of your marriage certificate must be provided within 7 days of your election.

If enrolling a domestic partner – a copy of State of California Certificate of Registration of Domestic Partnership must be provided within 7 days of your election.

STEP ONE:


TO ENROLL, OR WAIVE MEDICAL, DENTAL, VISION AND

LIFE/ADD BENEFITS COVERAGE

If enrolling a domestic partner – a copy of State of California Certificate of Registration of Domestic Partnership must be provided within 7 days of your election.



If you are Electing Coverage, you will have the option to Elect Pre-Tax or Post-Tax deduction.

STEP TWO:

COMPLETE 2022 EMPLOYEE INFORMATION SHEET:

2022 PGDS EE INFO SHEET

Click the button below to download and get started
Start Signing

* All employees must update and complete 2022 PGD EE INFO SHEET come the New Year. PGD requires an updated form regardless if the information has not changed from previous years.

OPTIONAL:

The 2022 IRS Form W-4 has not been released yet. Please check back - It will be posted as soon as it has been released.

* Employees who elect to change their withholdings on January 1, 2022 are required to submit a new 2022 IRS Form W-4. Employees who have submitted Form W-4 in any year before 2022 and not required to submit a new form. Employers will continue to compute withholding based on the information from the employee's most recently submitted Form W-4.