Who’s eligible?

Employee eligibility

You are eligible for Schneider Electric benefits if you are a:

Salaried or hourly full-time employee;
Regular part-time employee, scheduled to work at least 17.5 hours per week; or
Union employee covered by a collective bargaining agreement providing coverage by this program.

NOTE: Temporary workers and contracted or leased employees are excluded from Schneider Electric benefits.

Eligible dependents

At Schneider Electric, we recognize the importance of benefits coverage for your family. If you are eligible for benefits, you may cover your spouse or domestic partner and your children, as defined below. Also see below for the information you need to submit to ensure they can be covered.

Dependent	Definition	Required documents*
Spouse	A person to whom you are legally married, including common law spouses and same-sex spouses legally married in states where such marriages are recognized.	Copy of the front page of the employee’s most recent federal tax return that includes the employee’s spouse OR Photocopy of marriage certificate AND Proof of joint debt/ownership dated within the past 90 days (must have employee and spouse name) such as: Monthly statement from a joint checking or savings account Mortgage payment or lease agreement
Domestic partner	Same- or opposite-sex partner (no age limit) with whom you are registered with an authorized government agency or, if not registered, with whom you are involved in an ongoing and committed relationship and who has been residing with you for the last six consecutive months.	Domestic Partner Registration as legally recognized OR Two of the following that show both the employee’s and domestic partner’s name and address: Mortgage payment or lease agreement Joint ownership of a motor vehicle A current joint bank account or a joint credit account (dated within the last 90 days) AND Certification of Tax Dependency and Declaration of Domestic Partnership (refer to the General Information section of the SPD*)
Child(ren)	A dependent child** (younger than age 26 regardless of student or marital status) who is/are: Your natural child(ren) Stepchild(ren), foster child(ren), and child(ren) for whom you are the court appointed legal guardian Adopted child(ren) once they are placed with you for adoption Child(ren) entitled to coverage under a qualified medical child support order Disabled child(ren) over age 26 Child(ren) of domestic partners Unmarried child(ren) up to age 19 — but less than age 25 — who are full time students (life insurance only)	For natural child(ren): Photocopy of birth certificate showing employee’s name OR a copy of the employee’s most recent federal tax return showing the dependent listed. For stepchild(ren): Photocopy of birth certificate showing employee’s spouse’s name and a copy of the marriage certificate showing the employee’s and parent’s name OR a copy of the employee’s most recent federal tax return showing the dependent listed For domestic partner’s child(ren): Photocopy of birth certificate showing domestic partner’s name OR a copy of the employee’s or domestic partner’s most recent federal tax return showing the dependent listed For legal guardian, adoption or foster child(ren): Photocopy of final court order with presiding judge’s signature, final adoption decree or qualified medical child support order, OR a copy of the employee’s most recent federal tax return showing the dependent listed

* You can find a complete list of acceptable documents as well as the Certification of Tax Dependency and Declaration of Domestic Partnership at se-benefitslink.com (Tools & Resources > Forms) or by contacting PeopleLink at 877-248-2998.

** This also includes your adult child(ren) to the end of the month in which they turn age 26 even if they are eligible for medical, dental or vision coverage through their own employer plans.

Enroll at

se-benefitslink.com

Who’s eligible?

Employee eligibility

Eligible dependents

Enroll at

Get rewarded for your healthy habits.