Life Events
May Vary based on employer, plan and / or / Vendor
Below
is a summary of life events, which may cause you to use or change
your benefits. This may be used as a reference if and when you have
a change in status that could affect your benefits. This is
intended as general reference guide only. For Specific information
affecting your particular benefits, please consult your employer,
insurance company, agent, tax consultant and / or advisor.
Marriage
Requirements may vary based on employer, plan and / or vendor.
-
Medical - add dependents within
30 days, retroactive coverage with effective date of marriage
-
Dental - add dependents within 30
days, retroactive coverage with effective date of marriage
-
Dependent Life - enroll spouse/child(ren)
within 30 days, retroactive coverage with effective date of
marriage
-
Basic Life - beneficiary change
-
Supplemental Life - beneficiary
change
-
Tax Deferred Plans - beneficiary
change
-
Taxes - consult your tax advisor
regarding withholding changes
-
Name Change - notify Human
Resources
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Divorce
Requirements may vary based on employer, plan and / or vendor.
-
Medical - add/drop dependents
within 30 days, retroactive coverage with effective date of
divorce
-
Dental - add/drop dependents
within 30 days, retroactive coverage with effective date of
divorce
-
Dependent Life - maybe
convertible to an individual policy
-
Tax Deferred Plans - beneficiary
change
-
Basic Life - beneficiary change
-
Supplemental Life - beneficiary
change
-
Taxes - consult your tax advisor
regarding withholding changes
-
COBRA - maybe entitled to
continue your benefits, if you are currently covered as a
dependent under your spouse's plan
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Birth/Adoption
Requirements may vary based on employer, plan and / or vendor.
-
Medical - add dependent within 30
days, retroactive coverage with effective date of birth/adoption
-
Dental - add dependent within 30
days, retroactive coverage with effective date of birth/adoption
-
Dependent Life - add dependent
within 30 days, retroactive coverage with effective date of
birth/adoption
-
Flex Spending Account - enroll
during change period
-
Base Life - beneficiary change
-
Supplemental Life - beneficiary
change
-
FMLA -12 weeks available for care
of newborn or adopted child
-
Sick Leave - maybe available for
pre-natal and post-natal car
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Illness (Self)
Requirements may vary based on employer, plan and / or vendor.
-
Medical- utilize your medical
benefits
-
Dental - utilize your dental
benefits
-
Long Term Disability (LTD) - may
be used for illness lasting longer than the specified
elimination period, pending approval
-
Long Term Care (LTC) - if
enrolled, may be used for out-patient care due to a serious
medical condition
-
Sick Leave - accrued time may be
used for time off due to an illness
-
Vacation - may be used, if
additional paid time off is needed due to an illness
-
Family and Medical Leave Act (FMLA)
- may use up to 12 weeks for serious medical conditions.
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Illness (Family)
Requirements may vary based on employer, plan and / or vendor.
-
Medical- utilize your medical
benefits
-
Dental - utilize your dental
benefits
-
Sick Leave - usually based on
tenure for a specified number of days per calendar year of
accrued time may be used to care for a family member due to an
illness
-
Vacation - maybe used, if
additional paid time off is needed due to care for a family
member due to an illness
-
Family and Medical Leave Act (FMLA)
- may use up to 12 weeks to care for an immediate family member
who has a serious medical condition
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Retirement
Requirements may vary based on employer, plan and / or vendor.
-
Medical-
may continue after retirement until a specified age, if you were
enrolled as an active employee
-
Dental
- may continue after retirement until a specified age, if you
were enrolled as an active employee
-
Basic Life
- may continue after retirement until a specified age, if you
were enrolled as an active employee
-
Supplemental Life
- may continue after retirement until a specified age, if you
were enrolled as an active employee
-
Dependent Life - may continue after retirement until a specified age, if you were
enrolled as an active employee
-
Long Term Disability (LTD)
- cancels at retirement
-
Accidental Death and
Dismemberment (AD& D)
- may continue after retirement until a specified age, if
currently enrolled
-
Long Term Care (LTC)
- may continue after retirement until a specified age, if
currently enrolled
-
Tax Deferred Plans
- usually may not be deducted from retirement check
-
Social Security - eligible for benefits at age 62
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Termination
Requirements may vary based on employer, plan and / or vendor.
-
Medical/Dental - COBRA benefits
available if you were currently enrolled while benefit-eligible
-
Life Insurance - conversion
policy maybe available
-
Long Term Disability (LTD) -
conversion policy maybe available
-
Accidental Death and
Dismemberment (AD& D) - benefits usually cancel
-
Tax Deferred Plan - deductions
stop upon termination
-
Flex Spending Account - monies
deferred into account may be reimbursed for services up until
date of termination; COBRA benefits available for the remainder
of that year if you were enrolled while benefit-eligible
-
Vesting/Retirement - benefits
available after a period of years while continuous employed
-
Unemployment Compensation -
benefits available pending Division of Unemployment approval
-
Vacation - in some instances,
accrued balance maybe paid
-
Sick Leave - in some instances
accrued balance maybe be paid
-
Personal Days - usually any
balance must be used prior to termination
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Disability
If receiving Long Term Disability (LTD) benefits.
Requirements may vary based on employer, plan and / or vendor.
-
Medical/Dental - if employed more
than five (5) years, eligible to continue benefits through
payroll deduction; if employed less than five (5) years, COBRA
benefits will be offered
-
Life Insurance - if employed more
than five (5) years, eligible to continue benefits through
payroll deduction; if employed less than five (5) years,
conversion policy will be offered
-
Long Term Disability (LTD) -
cancels
-
Accidental Death and
Dismemberment (AD& D) - if employed more than five (5) years,
eligible to continue benefits through payroll deduction; if
employed less than five (5) years, cancels
-
Vacation - accrued balance will
be paid
-
Sick Leave - accrued balance will
be paid
-
Personal Days - balance will not
be paid
-
Social Security - contact the
Social Security Administration
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Dependent Eligibility
Requirements may vary based on employer, plan and / or vendor.
-
Eligible dependents include your
spouse and each of your unmarried natural children younger than
age 19.
-
Children age 19 and older are
also eligible for coverage if they meet the requirements.
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Work Related Injury
Requirements may vary based on employer, plan and / or vendor.
-
All employees are covered by
Workers' Compensation Insurance for work related injuries.
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Death
Requirements may vary based on employer, plan and / or vendor.
-
Medical/Dental - terminates at
date of death, dependent coverage may continue through our
retirement system
-
Basic/Supplemental Life - payable
upon death to designated beneficiary
-
Dependent Life - conversion
policy available
-
Long Term Disability (LTD) -
cancels upon death
-
Long Term Care (LTC) - cancels
upon death
-
Accidental Death and
Dismemberment (AD& D) - cancels upon death
-
Tax Deferred Plans - terminates
upon death; beneficiary should contact company
-
Flex Spending Account - expenses
incurred prior to date of death are reimbursable
-
Vacation - accrued time will be
paid
-
Sick Leave - accrued time will
not be paid
-
Social Security - beneficiary
should contact the Social Security Administration
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Change in Status
Full-Time To Part-Time (less than 75%)
Requirements may vary based on employer, plan and / or vendor.
-
Medical/Dental - COBRA
benefits maybe available, if you were enrolled while
benefit-eligible
-
Life Insurance - maybe able to convert to individual policy
-
Long Term Disability (LTD)
- maybe able to convert to individual policy
-
Accidental Death and
Dismemberment (AD& D)
- benefits cancel
-
Tax Deferred Planw-
maybe eligible to continue participation
-
Flexible Spending Account
- not eligible to continue participation
-
Workers' Compensation - employees will be covered for work related injuries
-
Vesting/Retirement
- if you change in status after a specified number years as
full-time continuous employment, benefits may be available upon
termination
-
Vacation
- accrued balance maybe available or paid
-
Sick Leave
- accrued balance may not be available or paid
-
Personal Days - balance may not be paid, if not used prior to change in status
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Change in Status
Assumption of Full-Time Status / Benefit Eligible Position
Requirements may vary based on employer, plan and / or vendor.
-
Medical/Dental - effective based on the Date of Hire or Benefit-Eligibility Date
- form must be received within 30 days of date of hire
-
Basic Life
- effective based on the Date of Hire or Benefit-Eligibility
Date - form must be received within 30 days of date of hire
-
Supplemental Life
- up to 3x annual salary available, effective upon approval
-
Dependent Life Spouse
- $10,000/$20,000 available, additional coverage available upon
approval. Effective retroactive to Date of Hire or
Benefit-Eligibility Date - total cost incurred by employee.
-
Dependent Life Child(ren)
- $5,000 for each child up to age 19, additional coverage
available upon approval. Effective retroactive to Date of Hire
or Benefit-Eligibility Date - total cost incurred by employee.
-
Long Term Disability (LTD)
- Option A paid by University, effective date of employment;
Option B employee contribution required. Effective retroactive
to Date of Hire or Benefit-Eligibility Date.
-
Accidental Death and
Dismemberment (AD& D)
- Self/Family coverage available, principal sum range
$10,000-$150,000. Effective retroactive to Date of Hire or
Benefit-Eligibility Date - total cost incurred by employee.
-
Tax Deferred Plans
- maybe available within a specified date of employment; with a
minimum, and maximum contribution which maybe tax deferred,
subject not to exceed IRS guidelines per year based on employee
and / or employer contribution..
-
Vacation
- specified number of days per year for non-exempt or for
exempt staff; maybe available after completion of the benefit
eligibility period usually one (1) to (6) months of continuous
employment
-
Sick Leave
- maybe provided based on tenure and accrual monthly of a
specified number of days per year; usually available for usage
as accrued
-
Personal Days - specified number of days per year for non-exempt or for exempt
staff; maybe available after completion of the benefit
eligibility period usually one (1) to (6) months of continuous
employment. Additional days maybe received on anniversary date;
usually with no previous balance carry over
-
COBRA
- entitled to continue your benefits, if you were covered as an
active employee
-
Flexible Spending Account
- Health Care Expense Account maybe used to reimburse for
eligible expenses not covered by insurance; Dependent Care
Assistance Account maybe used to be reimbursed for the care of
dependent children or adults
-
Workers' Compensation - employees covered for work related injuries
-
Vesting/Retirement
- employee contribution maybe required; benefits available after
specified period of years full-time continuous employment
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