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Eligibility,
Eligible Dependents & Enrollment Deadlines
Eligibility
| Eligible Dependents & Required
Documents | Enrollment Deadlines
Eligibility
To
be eligible for benefits, employees must be appointed:
- at
half time (.50) or more and for a period of six months or
more (Staff)
-
for at least 6 weighted teaching units (.40) for one semester
or more (Faculty)
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Eligible
Dependents
Employees may enroll the following dependents:
- Spouse/domestic
partner
- Unmarried
child or economic dependent under age 23
Required
Documents
If
enrolling a spouse/domestic partner or a child/adopted child/economic
dependent child the following documents are required:
- Marriage
certificate (spouse)
- Declaration
of Domestic Partnership (Domestic Partner)
- Birth
certificate (dependent child)
- Adoption
Certificate (adopted child)
- Affidavit
of Eligibility for Economically Dependent Children (economic
dependent)
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Enrollment
Deadlines
Enrollment
forms must be received within 60 days of your appointment.
The effective date of health, dental and vision coverage is
the first of the month following the date the enrollment forms
are received in the Human Resources Office.
Employees
are responsible for notifying the Benefit office within 60
days of any life changes that may require changes to their
benefit plans, such as marriage, divorce, birth of a child
or a child turning age 23..
If
the deadline is missed, employees may enroll in health and
dental insurance plans after a 90-day waiting period under
the Health Care Portability and Accountability Act (HIPPA),
or during the annual open enrollment period with coverage
effective the following January 1.
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