Eligibility

Eligibility

Katy ISD encourages the health and financial well-being of its employees by providing access to quality and affordable healthcare. The coverage effective date will begin on the 1st day of the month following employee date of hire. If you are hired on the first day of the month, your benefits are effective the first of the following month. All benefit elections must be made within 31 calendar days from your date of hire. The insurance plan year is from January 1st - December 31st. Note: Once your enrollment window has closed, you may not make any changes to your elections unless you experience a Qualifying Life Event (QLE).

• You’re a regular employee, either active or on a paid leave approved by the district.

• You're an active, contributing member of the Teachers Retirement System (TRS) or, if retired from TRS, you're rehired into a position that makes you eligible for benefits.

• According to the Affordable Care Act guidelines, you are also eligible for benefits if you work for Katy ISD 30 hours or more per week. Please contact Benefits Connect at 866-222-KISD (5473) if you feel you are eligible under these guidelines and have not been given the opportunity to enroll.

Dependent Eligibility

If you apply for coverage for yourself, you may also elect coverage for any of your eligible dependents.

Dependent Verification is now required for all dependents covered on medical, dental, vision, and spouse life. When you enroll your dependent you will be notified that verification is required in order to cover that dependent on one of our plans. You will receive a letter telling you what is acceptable documentation and where to send those documents. For questions regarding dependent verification, you may contact our benefits administrator at 866-222-KISD (5473).

Eligible Dependents include one or more of the following:

• Your legal spouse

• A child through the age of 26. You can only make changes to the specific plans where dependents will be affected

• A child is defined as your natural child, legally adopted child, stepchild, a grandchild who is a Dependent of the Participant for federal income tax purposes and resides full time with Participant, and any child for whom you are the court-appointed guardian

• A child of any age who is medically certified as disabled and dependent on the parent for support and maintenance. For more information about eligibility for your disabled dependent, contact Aetna customer service at 877-224-6857 before your dependent reaches age 26.

Important note: You and your dependents may lose benefits or eligibility if you’re covering individuals who don’t meet the definition of an eligible dependent.

Making Changes: Qualifying Life Events

Generally, benefit changes are limited to open enrollment.

If you experience a Qualifying Life Event (for instance: getting married or having a baby), please contact Benefits Service Center; proof of the Qualifying Life Event must be submitted to the Benefits Coordinator within 31 calendar days in order to change current benefit election.

• Benefit Elections must be consistent with the event

• You can only make changes to the specific plans where dependents will be affected

• If you are adding benefits due to a life event, in most cases the benefits become effective the first day of the month following the notification to Benefits Service Center

• Benefits and new rates become effective the date of the event for birth, adoptions, marriage, divorce, and death; or the day after benefits end, when the event is loss of coverage

• The event date must be consistent with the information in the Supporting Documentation