Eligibility, Mid-Year Changes, Termination – medical and dental
THE REGULATIONS OF OUR MEDICAL AND DENTAL PLANS
The benefit plans we offer follow applicable state and federal law. There are legal documents that define and control the provisions of each plan. Here’s important information that relates to your enrollment. A summary of all plan provisions can be found in your certificates of coverage documents.
Life Event Instructions:
Birth, Adoption, Placement
Change in Legal Marital Status
Change in Legal Status - Divorce
Child No Longer Eligible
Death
Health Savings Account
Involuntary Loss of Coverage
Involuntary Loss of Coverage - Medicaid
New Coverage Offered
New Coverage Offered - Medicare
On Account of Orders
Eligibility
Any employee who works 30 or more hours per week during a school year or calendar year is eligible for medical and dental insurance coverage. Employees must work 30 or more hours every single week of the year to retain eligibility. Eligibility for the following year will be determined in October. It is the employee's responsibility to ensure they are maintaining 30 hours each week.
Note: We reserve the right to change or end any of the benefits plans, at any time and for any reason, to the extent allowed by law. Your participation in these plans is not a contract of employment and does not guarantee future employment with us.
When Coverage Begins
For new employees, your coverage will become effective on the first day of the month following your hire date. If your hire date is the first day of the month, coverage is effective that day. For newly eligible employees (those moving from part time to full time), your coverage will be effective on the first of the month following the date you went to full time status. If your full time effective date is the first of the month, coverage is effective that day.
Offer of coverage
New employees will be sent an enrollment email containing instructions on how to enroll/decline coverage through the Enterprise Web Benefits system. This email will be sent shortly after your first day of employment. Newly eligible current employees will also be sent an email once approved in the system as a benefit-eligible employee.
Declining Coverage
If you are declining coverage for yourself or your dependents (including your spouse) as a new hire, you may be able to enroll yourself or your dependents in this plan in the future, provided that your request is due to a qualifying event and that the request for enrollment is made within 30 days of the qualifying event.
If you do not choose medical coverage for yourself or your dependents, you agree that you will not hold the parishes, schools and agencies of the Archdiocese liable for medical expenses incurred by you or your dependents.
Eligibility of Family Members
You may be able to cover your spouse and/or child(ren) under the benefits plans. Your eligible children may be covered up to age 26.
If your spouse is also employed with us and is eligible for benefits, only one of you may elect coverage for the family. You cannot cover yourself and your spouse and your dependent children twice under our plans. These plans do not allow for “double coverage.”
What Happens If You Don’t Enroll
If, for any reason, you don’t complete the enrollment process within 30 days of the effective date of your coverage as a new hire, you and your family will not be covered by our medical and/or dental plans for the entire plan year. If you don’t complete the enrollment process during any annual open enrollment, you and your family will not be covered by our medical and/or dental plans for the entire plan year.
Enrollment and Payroll Deduction Authorization
Completing the online enrollment process through Enterprise Web Benefits authorizes us to enroll you for the plans you selected, at the coverage levels you want and to make the necessary deductions from your pay. By completing the enrollment process, you acknowledge that you have read and understand the benefits materials.
Changing Coverage, Adding Dependents or Electing Coverage During the Year
If you’ve had a qualifying life event occur in the last 30 days, you may be eligible to change your benefit election mid-year via a life event request done through the Enterprise Web Benefits system within your Paylocity self-service portal.
Qualifying events apply to joining coverage as well as dropping coverage mid-year.
Life Event Instructions:
Birth, Adoption, Placement
Change in Legal Marital Status
Change in Legal Status - Divorce
Child No Longer Eligible
Death
Health Savings Account
Involuntary Loss of Coverage
Involuntary Loss of Coverage - Medicaid
New Coverage Offered
New Coverage Offered - Medicare
On Account of Orders
Continuation of These Plans after Employment Ends
If your employment should end with the Archdiocese, you have the option to continue your medical and/or dental insurance coverage for a certain period of time. To request to continue your coverage, you are required to contact human resources at 317-592-4045. Paperwork is only mailed out upon direct request by the employee. Flex plans are not available under continuation of benefits. Please click here for further details on benefits upon termination.
Genetic Information Nondiscrimination Act (GINA)
“The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers and other entities covered by GINA Title II from requesting or requiring genetic information of an individual or family member of the individual, except as specifically allowed by this law. To comply with this law, we are asking that you not provide any genetic information when responding to this request for medical information. “Genetic Information” as defined by GINA includes an individual’s family medical history, the results of an individual’s or family member’s genetic tests, the fact that an individual or an individual’s family member sought or received genetic services, and genetic information of a fetus carried by an individual or an individual’s family member.”
