Eligibility

Active Employees

Who is eligible to enroll in the benefit program?

All employees working at least 75% per week. Board Members are included in the active employee category.

Active Eligible Classes: Academic Administrators, Classified Management, Police Officers Association (POA), & Board Members, Faculty and Classified.

What is the effective date of coverage?

Effective date of coverage is the first of the month following your date of eligibility.

Can I enroll my dependents?

Eligible dependents include your spouse, domestic partner, and children up to age 26. Children include stepchildren, children placed under a "qualified medical child support order," adopted children or children placed for adoption and children in which you have established legal guardianship. To enroll qualified dependents, you must provide proper documentation, e.g. marriage/birth certificates, state/court documents, etc.

This is only a summary of the eligibility requirements and is not intended to modify or supersede the requirements of the plan documents, and the plan documents will govern in the event of any conflict between this summary and the plan documents.

What is the definition of domestic partner?

Domestic partner is defined as the employee's domestic partner under a legally registered and valid domestic partnership or one that meets certain requirements and provides an affidavit of domestic partnership.

How do I add and exclude dependents?

Newly acquired dependents may be added to the plan during the year by completing the necessary forms within
30 days of their eligibility. If you do not add dependents within the 30‐day period and do not qualify for a "special enrollment" (see next page), they will not be eligible to enroll until the next "open enrollment" period each August.

When can I make changes to my benefit elections?

Other than during the annual "open enrollment" period, you may not change your coverage unless you qualify for a "special enrollment" (more about this on next page). In addition, if you are declining enrollment for you or your dependents (including your spouse) because of other group medical coverage, you may in the future be able to enroll yourself or your dependents in this plan, provided that you qualify for a "special enrollment."