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Eligibility

Learn more about the benefit eligibility requirements for yourself and your dependents.
Eligibility

Eligible employees are full time employees working 30 hours or more a week.


New Employees

Your benefits become effective on the first of the month following 60 days on the job.


Eligible Dependents

Legally married spouse 

  • Biological, adopted or stepchildren up to age 26

  • Children over age 26 who are disabled and depend on you for support

  • Children named in a qualified medical child support order (QMCSO)

  • For additional coverage information, please refer to the benefit booklets for each benefit.

What is a Qualified Life Event (QLE)?

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 the Benefits Coordinator; 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

  • 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


Qualifying Event

Supporting Documentation

Dependent Documentation

Marriage

Marriage Certificate

Birth Certificates are required if adding spouse's children

Death

Death Certificate

No additional documentation required

Divorce

Certified copy of Divorce Decree

Birth Certificates are required if adding children not currently enrolled in benefits

Adoption

  • Placement for adoption paperwork

  • Legal documentation of adoption

No additional documentation required

Birth

  • Birth Certificate 

  • Verification of Birth Facts issued by hospital

No additional documentation required

Loss or Gain of Coverage 

Proof of enrollment or termination of benefit coverage from spouse's employer. Proof must contain effective or termination dates of coverage, type of coverage (medical, dental, vision, etc.) and the names of dependents effected

  • Adding Spouse - Marriage Certificate

  • Adding Children - Birth Certificate

Gain of Medicare or Medicaid

Proof of enrollment of benefit coverage. Proof must contain effective or termination dates of coverage, type of coverage (medical, dental, vision, etc.), and the names of the dependents effected (has 60-day window)

  • Adding Spouse - Marriage Certificate

  • Adding Children - Birth Certificate



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