Eligibility & Making Changes

Employees

ou are eligible for our core benefits program if you are a regular full-time or part-time employee working 24 or more hours per week.

You can also enroll your eligible dependents in many of the same benefits that you enroll in. Eligible dependents include:

  • Legally married spouse or same or opposite gender registered domestic partner
  • Natural, adopted, step children, and/or domestic partner’s children up to age 26
  • Children age 26 or over who are disabled and depend on you for support
  • Children named in a Qualified Medical Child Support Order (QMCSO)

 

Which Benefits am I Eligible for?

Benefits Eligibility Chart

When can I enroll or make changes?

It’s important to know when you’re able to enroll or make changes to your benefits. 

 

Newly Benefits Eligible

 You can enroll in benefits as a new hire, or if you are newly benefits eligible! New hire coverage begins on the Date of Hire as long as you enroll within 30 days of becoming eligible. 

 

Annual Open Enrollment

You will have the opportunity annually during Open Enrollment to enroll in benefits, make changes, and/or add or remove dependents. The decisions you make during Open Enrollment will stay in effect for the entire plan year, January 1 through December 31, unless you experience a qualifying event.

 

Qualifying Life Event

Outside of Open Enrollment, you may be able to enroll or make changes to your benefit elections if you have a big change in your life, including: 

  • Change in legal marital status
  • Change in number of dependents or dependent eligibility status
  • Change in employment status that affects eligibility for you, your spouse, or dependent child(ren)
  • Change in residence that affects access to network providers
  • Change in your health coverage or your spouse’s coverage due to your spouse’s employment
  • Change in an individual’s eligibility for Medicare or Medicaid
  • Court order requiring coverage for your child
  • “Special enrollment event” under the Health Insurance Portability and Accountability Act (HIPAA), including a new dependent by marriage, birth or adoption, or loss of coverage under another health insurance plan
  • Event allowed under the Children’s Health Insurance Program (CHIP) Reauthorization Act (you have 60 days to request enrollment due to events allowed under CHIP).

You must submit your change within 30 Days of the event! 

 

Remember – if you miss the enrollment deadline, you’ll need to wait until the next open enrollment, or for a qualifying life event. You won’t be able to make changes to your benefits outside of the scenarios above, so plan accordingly to make sure you have all the coverage you need each plan year!

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