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ELIGIBILITY

Who Can You Cover?

Who Is Eligible?

Regular full-time employees working 30 or more hours per week are eligible for the benefits outlined in the summary plan description. You can enroll the following family members in our medical and vision plans. 

  • Your spouse (the person who you are legally married to under state law), some plan exclusions may apply. 
  • Your children (including a Child under your Legal Guardianship, Adoptive Child or a stepchild living in the residence of the employee):
  • Under the age of 26 are eligible to enroll in medical coverage. They do not have to live with you or be enrolled in school. They can be married and/or living and working on their own.
  • Over age 26 ONLY if they are incapacitated due to a disability and primarily dependent on you for support and such child was covered by this plan prior to the limiting age.
  • Named in a Qualified Medical Child Support Order (QMCSO) as defined by federal law.

Please refer to the Summary Plan Description for complete details on how benefits eligibility is determined.

Who Is Not Eligible?

Family members who are not eligible for coverage include (but are not limited to):

  • Parents, grandparents, and siblings.
  • Employees who work less than 20 hours per week, interns, temporary employees or contract employees.

Qualifying Event?

Coverage for new employees begins on the first day of the month following satisfaction of their eligibility period. Open enrollment is the one time each year that employees can make changes to their benefit elections without a qualifying life event. An employee may make a new election upon the occurrence of certain events described below as they pertain to the applicable benefits. Make sure to notify Human Resource right away if you do have a qualifying life event. You have 30 days to make a change (add or drop) to your coverage election when a qualifying event occurs.  A qualifying event includes (but is not limited to):

  • Birth or adoption of a baby or child
  • Change in Employment Status
  • Marriage
  • Loss of other healthcare coverage
  • Divorce or Legal Separation
  • Eligibility for new healthcare coverage
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