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Benefits Overview. Rules of the Game. Who is eligible for coverage?. Active employees Full time (FT) Employees scheduled 32+ hours/week Regular Part time (RPT) Employees scheduled between 20 and 31 hours/week FT and RPT employees on approved Leaves of Absence (LOAs).

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Benefits overview

Benefits Overview

Rules of the Game

1


Who is eligible for coverage
Who is eligible for coverage?

  • Active employees

  • Full time (FT) Employees scheduled 32+ hours/week

  • Regular Part time (RPT) Employees scheduled between 20 and 31 hours/week

  • FT and RPT employees on approved Leaves of Absence (LOAs)


When can coverage begin
When can coverage begin?

  • Upon hire

  • At open enrollment (in October/November to be effective the following January 1st)

  • Through a Qualifying Event (within 30 days) and with proper documentation

    • Gain or loss of a dependent (birth, adoption, 26th birthday of a child, marriage, divorce, death)

    • Spouse/partner’s gain or loss of employment

    • Spouse/partner’s open enrollment

    • Medicare/Medicaid eligibility

    • Change in Daycare charges


When will coverage become effective
When will coverage become effective?

  • New hires: Coverage is effective the first of the month after one month of FT/RPT employment

  • Open enrollment: Paperwork in October/November with coverage effective January 1st.

  • Qualifying event: Changes in coverage effective the first of the month following the event. Changes made must be related to the event. For example, birth of a child would allow you to add the newborn to medical and begin a dependent care spending account but would not allow you to begin vision insurance.


When does coverage end
When does coverage end?

Coverage ends the last day of the month of:

  • At termination of employment (either voluntary or involuntary)

  • December (if dropping coverage through Open Enrollment)

  • At retirement

  • At a change to per diem status (less than 20 hours/week)

  • At the end of a Leave of Absence (LOA)