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Eligibility

Eligible employees
:  Full time active Employee working not less than 35 hours per week for 12 months per year unless usual work schedule is 10 months per year. 

Dependents
  • Spouse.
  • Civil Union Partner.
  • Medical and Prescription:   Dependent children are covered until the end of the calendar year in which age 26 is attained.
  • Dental:  Dependent children are covered until the end of the calendar year in which age 23 is attained.
  • A newborn child is covered for 31 days from the date of birth.  To continue coverage beyond this initial period, the newborn child must be enrolled within the initial 31 day period.
  • To continue coverage for a handicapped child evidence of the child’s  incapacity and dependency must be provided to the carrier at least 31 days prior to the termination of coverage.
Waiting Period
  • Medical, dental and prescription benefits for 10 or 12 month contracted employees hired during July, August, and September with the hire date of the 1st through the 15th of July, August, and September only: Coverage becomes effective the 1st of the hired month.  (i.e. If your hire date is July 5th, effective date of coverage would be July 1st.)  
  • New employees with a start date in the months of October through June with the hire date of the 1st through the 15th of the month October through June:  Coverage is effective the first of the following month.  (i.e.  If you are hired October 5th, the effective date of coverage would be November 1st.)
  • New employees with a start date in the months of July through June with the hire date of the 16th through the end of the month in July through June:  Coverage becomes effective the first of the month following a 30 day waiting period.  (i.e. If your hire date is July 17th, the effective date of coverage would be September 1st.)
New employees: 
  • MedicalBoard-paid single medical coverage.  For Employees hired after July 1, 2008, the Aetna Patriot V will be the base insurance plan.  
  • DentalBoard-paid family dental coverage up to $850/year/employee. 
  • PrescriptionBoard-paid single prescription coverage during the first five years of employment.  All eligible employees electing prescription coverage through the Board shall pay $200 per year toward the premium cost of the plan.
Following three years of employment:  
  • MedicalBoard-paid family coverage. 
  • DentalBoard-paid family dental coverage up to $850/year/employee. 
  • Prescription– Board-paid family coverage.  All eligible employees electing prescription coverage through the Board shall pay $200 per year toward the premium cost of the plan.
General Enrollment
  • An eligible individual and any eligible dependents (child(ren)/spouse) may enroll regardless of health status, age, or requirements for health services within 31 days from the eligibility date.
  • Newly eligible individual and eligible dependents may enroll within 31 days of the eligibility date (birth/marriage/adoption, etc).
  • Eligible individuals or dependents who are eligible for enrollment but do not enroll within the first 31 days following eligibility, may be enrolled during any subsequent Open Enrollment period.    
Flexible Spending Account: Anyone who is eligible for health benefits even if you decide not to elect the benefits is eligible to participate in the Medical and Dependent Care FSA plans.  New employees may join the first of the Plan Year (January 1st) following the date the eligibility requirements are met. 
 
Special Open Enrollment
Certain events such as loss of other coverage or a new dependent as the result of marriage, birth or adoption qualify a member for a Special Open Enrollment.  Click here for more details.
 
  
For information about Coverage Continuation eligibility:  Coverage Continuation
 
 

 
          

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