You

If you are a full-time or part-time associate regularly working at least 24 hours per week, you are eligible for coverage in Allscripts Health and Welfare benefit plans.

Your dependents

Your dependents who are eligible for coverage include your:

• Legal spouse or domestic partner.
• Dependent children up to age 26 (or older, if your child is permanently and totally disabled).

Important notes:

• When covering a domestic partner, contributions for your domestic partner will be deducted on a post-tax basis. You will also pay taxes on the imputed income on the portion of benefits paid for by Allscripts for your domestic partner to be covered.
• Have your dependents’ Social Security numbers (SSNs) on hand when enrolling them in benefits. U.S. health care reform requires SSNs to be reported to the IRS for each covered individual.
• If you add a dependent to your health insurance coverage who does not qualify as a tax dependent under the Internal Revenue Code Section 152 and Notice 2010-38 (such as a domestic partner), the Fair Market Value (FMV) of Allscripts contribution toward that coverage is considered a taxable fringe benefit, subject to tax withholding. This calculated fringe benefit is known as imputed income.

You are eligible to enroll in Allscripts benefits:

• During the open enrollment period every fall.
  Your new elections made during this enrollment period will be effective on Jan. 1 of the following year
• If you are a new hire or newly eligible.
  You have 31 days from your first day of eligibility to enroll.
• If you have a qualifying life event.
  You have 31 days from the day of your qualifying life event to make elections.

To enroll, log into the Allscripts benefits enrollment system, then follow the steps below.

If you are already registered:

1. Enter your user name and password. (If you can’t remember one or both, click on Forgot your user name or password?).
2. Once you are in the Allscripts benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

If you are not registered:

1. Enter your Social Security number or Employee ID, Company Key and Date of Birth. Company Key is: MDRX in all uppercase letters.
2. Create your user name and password. (Make a note of your user name and password for future use.) Select your security phrase and answer. Click Continue.
3. Log in with the new user name and password you just created in step 2. Read the Electronic Signature notification and click Accept to move forward.
4. Once you are in the Allscripts benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

Confirmation reminder!

Until you have received a confirmation number from the Allscripts benefits enrollment system, your benefit enrollment or change request has not been processed. Please make sure to print your confirmation number for future reference.

Life event changes must be made within 31 days of the event.

Federal regulations issued by the Internal Revenue Service do not allow you to change benefit options or make new elections during the year unless you have a qualifying life event.

Qualifying life events include:

• Marriage, divorce, legal separation or change in domestic partner relationship.
• Birth, adoption or change in legal custody of a child.
• Death of a spouse or child.
• Change in employment status that results in a loss or gain of benefits, such as beginning or ending employment, change in hours that affect benefit eligibility, or an unpaid leave of absence.
• Change in dependent status of a child.
• Significant change in spouse’s premium contributions.
• Entitlement to Medicare, Medicaid or another insurance plan.
• Change in spouse’s benefit elections.

All changes must be made within 31 days of the event. To report a life event change, go to www.allscriptsbenefits.com and click on Start Here and then select Life Event Change. You will be required to provide documentation verifying your life event within 31 days of your request.