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Medical

PPO

HMO

Dental

Life Insurance

   

Who Is Eligible?

 

Children include:

  • natural children
  • legally adopted children
  • children placed in your home for adoption
  • stepchildren you can claim on your federal income tax return
  • foster children or other children for whom you have court-ordered custody
  • children for whom you are legal guardian
 

You

If you are a full-time or part-time State officer or State employee in a salaried position.

Dependents

If you enroll, you may also cover your eligible dependents by selecting family coverage. Eligible dependents include your:

  • Spouse.
  • Unmarried children through the end of the month in which they reach age 19.
  • Unmarried children age 19 through the end of the calendar year they reach age 25 if they depend on you for more than 50% of their financial support and live with you or are enrolled in any school, college or university certified or licensed by a state or foreign country.
  • Mentally or physically disabled children who have reached the age limits but are incapable of self-sustained employment and dependent on you for more than 50% of their financial support.
  • An eligible child's newborn child for 18 months after the child's birth, or until your eligible child who is the infant's parent no longer qualifies as your dependent.

Health Savings Accounts (HSAs) - Special Eligibility Rules

Employees who enroll in a Health Investor PPO or HMO may open an HSA through the State plan as long as the people they cover under the Health Investor medical plan do not have:

  • Medical coverage through a spouse's employer, Medicare or any other medical plan, other than the hospital, cancer or intensive care coverage available through the State's supplemental plans.
  • A healthcare flexible spending account that covers medical expenses.
  • You may participate in an HSA if you have a Limited Purpose Medical Reimbursement Account or enroll in the supplemental cancer, hospital or intensive care policies available to you as a State employee.