| Eligibility |
| Back to Employee FAQs |
| Q. |
I’m a new hire or returning to work. How do I go about electing insurance coverage? |
| A. |
Newly hired and returning employees must enroll for benefits coverage within 31 days of their date of hire or reinstatement by using the Y.E.S. website |
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| Q. |
When will my effective date of coverage be as a new hire or returning to work? |
| A. |
The effective date for your benefits coverage will be the first pay period following receipt of a properly executed enrollment form and required supporting documentation; provided the request is received within thirty-one (31) days of the date of hire. |
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| Q. |
I’m a new hire and my spouse’s last name is different from mine and I can’t find our marriage certificate. Will my coverage be delayed? |
| A. |
If you are enrolling a spouse or dependent whose last name is different from your own, the dependent’s coverage will not be processed until supporting documentation, such as a marriage license (for a spouse), birth certificate, or court order (for dependents), is provided to your agency human resources office. |
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| Q. |
Who’s considered an eligible dependent? |
| A. |
Your legal spouse or qualified domestic partner, natural, adopted and/or stepchildren under age 19, or under 25 if a full-time student at an accredited educational institution. |
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| Q. |
My child is about to turn 25 years old and is still enrolled in college. When will my child be dropped from my insurance coverage? |
| A. |
Your dependent child will be covered until midnight the day before his/her 25th birthday. |
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| Q. |
Can I enroll my 84 year old mother who lives with me as my dependent? |
| A. |
No, dependents eligible to participate in the State Health Plans include the employee’s spouse and each qualifying child. |
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| Q. |
Can I enroll my fiancé under this plan? |
| A. |
Only if they qualify as a domestic partner. |
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| Q. |
Does the plan include domestic partner benefits? |
| A. |
Yes. |
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| Q. |
What is a qualifying life event (QLE)? |
| A. |
This is an event that changes in your life such as but not limited to:
- Changes in your marital status: marriage, divorce, legal separation, annulment, death of spouse;
- Changes in dependent status: birth adoption, placement for adoption, death, or dependent eligibility due to age, marriage, student status;
- Changes in employment status or work schedule that affect benefits eligibility for you, your spouse, and/or dependent;
- Changes in residence that result in different available plan options for you, your spouse, and/or dependent.
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| Q. |
My wife and I just had a baby. What does the Benefit Services Division (BSD) need to enroll our baby onto my plan? |
| A. |
You would need to contact your agency liaison, fill out an enrollment change form and send in a copy of your baby’s birth certificate within 31 days of the qualifying life event (QLE). From there the liaison will fax or interoffice the paperwork to the BSD department and get the information added. |
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| Q. |
When will my coverage be effective for a QLE? |
| A. |
The effective date for benefit changes resulting from birth, adoption, or placement for adoption is the date of the event. The effective date for benefit changes based on all other QLE’s is the first day of the next pay period, following the date the employee submits the requested change, in writing, to his or her agency benefit liaison. |
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| Q. |
What will happen if I don’t turn in my QLE and supporting documentation in within the 31 days allowed? |
| A. |
You will need to submit an appeal letter to BSD stating why the QLE/supporting documentation wasn’t turned in in a timely manner. |
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