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Health

Medical Coverage Dental Coverage Vision Coverage

2026 Benefit Guide

Carrier Discount Programs

2026 Medical Waiver

2026 OE Memo

PPO vs HSA Plan

Affidavit of Domestic Partner Elegibility
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Whether you are starting out after college, supporting a growing family, or planning for retirement, our benefit plans are designed to meet your needs at every stage of life. Understanding your options is key to maximizing the value of your benefits and choosing coverage that best supports you and your family. We are committed to ensuring you have the information needed to make confident, informed decisions. Please take time to review each plan carefully to determine which coverage aligns with your individual circumstances.

Dependent Eligibility:
  • Your spouse or domestic partner. Please note: after tax contributions and imputed income may apply when covering a domestic partner.
  • Your child(ren), your spouse’s / domestic partner’s child(ren), your foster child(ren), the minor(s) you have legal guardianship of are eligible for medical coverage until age 26, regardless of marital or student status

Medical

If you have medical insurance elsewhere, you can elect the Rimini Street Opt-Out Plan for a $200 monthly credit, you must provide a Medical Health Plan Waiver through Workday or by emailing [email protected]. You will receive an inbox task in Workday to upload the waiver after the benefit changes are submitted. If these documents are not provided, you will not receive the credit.

Plan changes can only be made during an Open Enrollment period or within 30 calendar days of a Qualifying Life Event. To learn more about QLEs, click here.

 

United Healthcare PPO Medical Plans

The UnitedHealthcare PPO medical plans give you the flexibility to choose care from in‑network providers who offer services at negotiated, lower rates or from out‑of‑network providers, at an additional cost. For certain services, you’ll pay a copay. Preventive care is covered at 100% when services meet eligibility criteria and are coded correctly by your provider. For more information on what qualifies as preventive care and how coding works, visit UnitedHealthcare Preventive Care Guidelines.

Other services may be subject to the annual deductible and coinsurance. Once you reach the out-of-pocket maximum, the plan will pay 100% for all eligible expenses for the remainder of the plan year. While you can visit any doctor, you’ll save the most money by using in-network providers.

Watch the UHC Spotlight from 2026 Open Enrollment.

When comparing plans, consider each option’s annual deductible, out‑of‑pocket maximum, and your per‑year premium cost to decide which plan best fits your needs.

Account Management Services

United Healthcare PPO 250

Policy # 909202 | Phone: (866) 633-2446 | www.myuhc.com | Summary of Benefits CA, Summary of Benefits non-CA
Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$406.22
$270.82
$720.81
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

United Healthcare PPO 1500

Policy # 909202 | Phone: (866) 633-2446 | www.myuhc.com | Summary of Benefits CA, Summary of Benefits non-CA
Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$295.22
$178.53
$560.69
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

United Healthcare PPO HDHP w/ HSA

Policy # 909202 | Phone: (866) 314-0335 | www.myuhc.com | Summary of Benefits CA, Summary of Benefits non-CA

With the United Health Care High Deductible Health Plan (HDHP), you can receive medical services from in-network or out-of-network providers. Under this plan, you pay the full cost of medical services until you reach the annual deductible, except for in‑network preventive care, which is covered at 100% when it meets eligibility criteria.

After your annual deductible is met, the plan pays for a percentage of covered services known as coinsurance. When you reach the out-of-pocket maximum, the plan will pay 100% for all eligible expenses for the remainder of the calendar year. When you enroll in the HDHP, you are eligible to open a Health Savings Account (HSA) to help pay for eligible health care expenses (deductibles, coinsurance, and prescriptions) with pre-tax dollars.

Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$205.84
$106.37
$427.44
Rimini Street will deposit up to $1,500 annually for individual coverage and up to $2,500 annually for family coverage. Rimini Street contributions to the HSA are pro-rated based on your effective date in the HSA plan. Mid-year hires will have their contributions pro-rated.
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

Kaiser HMO (California Only)

With the Kaiser HMO, you are restricted to using providers within the Kaiser HMO network and the plan requires that you select a Primary Care Physician (PCP) to coordinate all your health care needs, including arranging for hospitalization and referrals to specialists.

Watch the Kaiser Spotlight from 2026 Open Enrollment.

Kaiser

Policy # 063239 | Phone: (800) 464-4000 | www.KP.org | Summary of Benefits
Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$244.00
$203.33
$443.64
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

Dental

Rimini Street offers dental coverage through MetLife Dental. MetLife Dental plan covers most preventive, restorative, orthodontia and major dental procedures. Preventive care, including routine exams and cleanings are covered at 100% with no deductible when using an in-network dentist.

Our plan is a Preferred Provider Organization (PPO), which means you can visit any dentist you choose. You’ll get the lowest out‑of‑pocket costs when you use dentists within the MetLife network. You have the option of going out of network, but your out-of-pocket costs will be higher.

Watch the MetLife Dental Spotlight from 2026 Open Enrollment.

Note: MetLife does not send out ID Cards. You may download a virtual card by visiting metlife.com/mybenefits.

MetLife Dental Resources

MyBenefits Registration

Mobile App Flyer
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MetLife Dental PDP/PPO Plus

Policy & Group # 5386556 | Phone: (800) 275-4638 | https://www.metlife.com/mybenefits | Summary of Benefits | Summary of Benefits for LA, MT, TX
Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$10.64
$13.60
$23.68
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

Vision

Rimini Street offers vision coverage through Vision Service Plan (VSP). Regular eye exams are an important part of keeping your vision clear and protecting your overall eye health. VSP offers an extensive network of optometrists and vision care specialists. You have the choice to see any provider, but you’ll save money by visiting VSP’s in-network providers.

The Vision Service Plan (VSP) network of providers includes both optometrists and ophthalmologists. To see if your vision provider is in-network, visit VSP find a doctor. To find an in-network provider visit www.vsp.com.

Watch the VPS Spotlight from 2026 Open Enrollment.

Note: VSP does not issue ID cards. Your provider can look up your coverage using your name and date of birth.

Vision Service Plan PPO*

Policy # 30023839 | Phone: (800) 877-7195 | Summary of Benefits
Employee
Employee + Spouse/DP
Employee + Child(ren)
Employee + Family
Per Paycheck
$0.00
$2.81
$2.88
$6.99
Per paycheck contributions are 24 times per year. Contributions are pre-tax (except for Domestic Partner Imputed Income Rate Table coverage).

Qualified Life Status Events

Once you make your enrollment selections during open enrollment or as a new hire, those elections are binding until the next Open Enrollment Period or a Qualifying Life Status Event occurs.

If you experience a qualified life status event, you have 30 calendar days to report the event and make changes in Workday. To make changes to your current elections due to a life event visit Workday and follow instructions by Clicking Here. Please log a HR Ticket if you have any questions.

Qualified life status events that are effective within 30 calendar days of the event include:

  • Birth/Adoption
  • Marriage/Domestic Partnership
  • Death of a Partner/Spouse
  • Loss of Employer-Sponsored Group Coverage
  • Gains Coverage elsewhere
  • Divorce or Legal Separation
  • Turning Age 26 and Aging Off Parent's Plan
  • Change of Address
  • Loss of Medicaid
  • Other Events

Example of Documentation

• Birth certificate or application for a birth certificate
• Adoption record or placement for adoption
• Legal guardianship document
• Court order or child support order
• Verification of Birth from Hospital Letter/Form

Example of Documentation

• Marriage license (include proof of coverage for at least one, subscriber or spouse)
• Partnership affidavit
• Municipal domestic partnership registration
• State domestic partnership registration
• State Civil Union License

Example of Documentation

• Death certificate or public notice of death and proof of prior qualifying health coverage within the last 30 days

Example of Documentation

• Letter or document from employer stating the employer changed, dropped, or will drop coverage or benefits for the employee, spouse or dependent, including the date coverage ended or will end
• Letter from health insurance company showing coverage termination date
• COBRA documentation showing length of coverage with beginning and end dates

Example of Documentation

• Letter or document from employer stating the employer changed or gained benefits for the employee, spouse or dependent, including the date coverage starts or will start
• Letter from health insurance company showing coverage effective date

Example of Documentation

• Divorce or annulment papers including the ending of health care responsibility and proof of prior qualifying health coverage within the last 30 days

Example of Documentation

• Proof of prior qualifying health coverage within the last 30 days

Change of Address

• Update your new address in Workday (Ex. Copy of Housing Lease, Home Purchase Doc.)

Example of Documentation

• Documentation from Department of Health and Human Services indicating the reason for loss and when coverage ended or will end
• Letter from Medicaid or Children's Health Insurance Plan (CHIP) stating when coverage ended or will end
• Moved out of plan area or moved into new plan area
• Proof of prior qualifying health coverage within the last 30 days and one of the following:
• Official school documentation, including enrollment or housing documentation
• Letter from current or future employer that you relocated for work
• Green card, education certificate or visa if you moved to the U.S. from another country

Examples of Other Events

• Letter from school stating when student health coverage ended or will end
• Dated copy of military discharge papers or Certificate of Release including the date coverage ended or will end due to no longer active military service
• Letter or notice from government program, like TRICARE, Peace Corps, AmeriCorps, or Medicare stating when coverage ended or will end
• Document from the Department of Corrections, jail or prison indicating release or parole, including an order of parole, order of release or an address certification

Copyright © 2026 Rimini Street, Inc.

All rights reserved.

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