ERISA Consent Form for Electronic Distribution of Materials
The purpose of this notice is to inform you that Pearl Interactive Network is offering you the opportunity to receive all notices electronically, about your employee benefits. Such notices will include (but not be limited to) newsletters, enrollment announcements, Summary Plan Descriptions (SPDs), Summaries of Material Modifications (SMMs), Summary Annual Reports (SARs), COBRA notices, Summaries of Benefits and Coverage, Health Insurance Marketplace Notices and HIPAA certificates of creditable coverage.
All notices are accessible at www.Paycom.com, in document section. Each benefit plan in which you enroll has a Summary Plan Description (SPD) that describes the key provisions of the plan.
Plan amendments describe any material changes made to the benefit plan since its SPD was originally drafted. A plan’s SPD and plan amendments are very important documents. For us to provide you with this opportunity, you must consent to receive all Employee Benefit notices electronically by signing the form below. Prior to consenting, you should understand that:
- When a new benefit notice, announcement, newsletter, SPD, or other document is posted to the Internet, you will receive a notification at the email address you provide to inform you of the availability of the document.
- You have the right to withdraw your consent to electronic distribution at any time at no charge to you. To withdraw consent, select the “Decline” option here: ☐ Decline
- If you decline electronic distribution, you will receive a paper version of any notices, free of charge.
- If you consent to electronic distribution, you may still request a paper version of any document free of charge.
- All benefit notices, including SPDs and plan amendments, will be available in Paycom. If you do not have access to the Internet, or if you do not have the programs necessary to view this type of file, you should not consent.
Pearl’s Volunteer Drive – Great news, this has been extended through the end of 2022!
Participate in available volunteer opportunities near you….
https://www.volunteermatch.org/
https://www.habitat.org/
https://www.redcross.org/
https://www.mealsonwheelsamerica.org/
https://www.ymca.org/
…and you could receive:
$20 gift card – Volunteer up to 4 hours
$20 gift card, plus Pearl Swag – Volunteer 5-10 hours
$20 gift card, Pearl swag, and you will be entered into a raffle for $100 gift card – Volunteer 10+ hours
Check Paycom Regularly: All Pearl employees should access Paycom at least once a week, if not more. Paycom is the one stop spot for announcements, updates, access to the employee handbook, and so much more. Paycom allows you to access your paystubs, tax forms, update your personal information and review your benefits elections.
Access the handbook through Paycom by clicking on <My Documents>, Completed, then Select Handbook, use the search feature to locate if it is not showing on the first page. Please make sure that you Acknowledge receipt of the handbook along with any other outstanding documents that need review. To update your personal information, simply log into the Employee self-service portal, click on the appropriate topic (Information, Payroll, etc.), and then select what it is that you need to update. Once you save the information, the change is immediately applied to your profile.
Please reach out to your direct supervisor or your assigned Human Resources Generalist for additional information or assistance if needed.