Eligibility
Employee
Eligible employees: Full time staff members working 7 hours/day.
Dependents
· Spouse.
· 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
· New employees with a start date on or before September 15th: Coverage becomes effective September 1st.
· New employees with a start date after September 15th: Coverage becomes effective the first of the month following a 30 day waiting period.
Terms of Employment - Effective July 1, 2008
New employees:
· Medical – Board-paid single medical coverage. For Employees hired after July 1, 2008, the Aetna Patriot V plan will be the base insurance plan. Employees will have the option to enroll in the Aetna Patriot X plan and pay the difference through payroll deductions.
· Dental – Board-paid family dental coverage up to $850/year/employee.
· Prescription – Board-paid single prescription coverage during the first three years of employment. Eligible employees may elect dependent prescription coverage for which the Board will contribute 60% of the premium. Additionally, 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: |
· Medical – Board-paid family coverage.
· Dental – Board-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.
· Effective July 1, 2008: For the 2008/2009 Year, employees currently enrolled in the Aetna Patriot X plan, who voluntarily choose the Aetna Patriot V plan, will receive a one-time incentive payment of $500. An employee who receives a payment under this incentive, and subsequently elects to return to the Patriot X plan, will pay the difference in premium between the Patriot X and Patriot V plan.
For information about Coverage Continuation eligibility: Coverage Continuation |
