Who Is Eligible?
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.
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