As defined in Section 3359 of the Rules of the University Board of Trustees, all full-time faculty, contract professionals and staff members are eligible to receive group insurance benefits.
Employees must notify and provide documentation to the Office of Benefits Administration with 31 days to process a family status change.
A full-time faculty, contract professional or staff member is eligible for insurance effective on the first day of the month following appointment or date of hire. For example, for an employee hired on Aug. 20, his or her insurance benefits would begin on Sept. 1. If an employee starts on Sept. 1, insurance benefits will begin Oct. 1.
If the employee is absent from work on the day on which insurance would normally begin, insurance becomes effective the day the employee begins work or returns to active work.
If an employee is insured, eligible dependents may be:
Same-sex domestic partner
Child(ren) under age 26
Adult child(ren) (medical & prescription coverage only)
The University of Akron’s definition of an eligible dependent can be found above. If you are adding, a dependent for the first time proof of dependency is required at the time elections are made. Elections will not be processed until all required documentation is received by The Office of Benefits Administration. All Required Documentation MUST include date and/or year, employee name, and dependent's name. Please send documentation via campus mail +0602 or email to firstname.lastname@example.org
FOR SPOUSE: Provide copies of 2 forms of documentation listed below.
A copy of your marriage certificate AND
A copy of the front page of your most recently filed federal tax return confirming this dependent as a spouse, OR documentation dated within the last 6 months establishing current relationship status such as a joint household bill, joint bank/credit account, joint mortgage or lease, listing your name and your spouse’s name.
FOR DOMESTIC PARTNER: Provide 2 competed forms with 2 forms of documentation for enrollment.
A child is defined as your natural child, stepchild, legally adopted child, foster child, child under age 19 placed with you for adoption, child living with you for whom you or your spouse are custodian or legal guardian, or a child for whom you are required to provide health insurance by a Qualified Medical Child Support Order
FOR CHILDREN: Provide the appropriate copy of the form(s) of documentation requested below.
Each dependent will be insured beginning with the latter of:
Insurance terminates when the employee
A dependent's insurance terminates when the employee's insurance terminates or when the dependent is no longer considered eligible.
Individual Termination - all coverage terminate on the date of termination, except for group life insurance protection, which continues for 31 days.
Temporary Layoff - All coverage except for Long-Term Disability will be continued for up to four months.
Permanent Layoff - All coverage terminate on the last date of employment.
Leave of Absence - Any employee on a full or partial approved leave of absence continues benefits for up to one year.
Military Leave of Absence - Please refer to University Rule 3359-11-05.
Total Disability - All coverage except life insurance terminate at the earliest of the following, measured from the date of disability: a period of time equal to prior service, when the employee becomes eligible for Medicare or Ohio Retirement System benefits, or two years.
Surviving Spouse and Insured Dependents of Deceased Active Employees - All group benefits terminate on the last day of the second month following the month of death. For example, if an employee dies on March 2, benefits for dependents will terminate on May 31.
Retired Employees - Insurance coverage terminates for recipients of Ohio Retirement System and Alternative Retirement Plan benefits. For employees hired before January 1, 1992, comprehensive medical coverage for dependents of Ohio Retirement System retirees continues if:
the 9-month faculty retiree had ten consecutive academic years, contract professionals and staff had ten calendar years of full-time service with the University immediately prior to retirement, and
the dependent was eligible for insurance when the retiree's health insurance coverage terminated.
Arrangements may be made for continuation of coverage for the employee or eligible dependents under COBRA.
An employee may revoke an election to all group benefits (except long term disability) during a period of coverage commitment and make a new election due to a change in family status. Events qualifying as a change in family status are defined as:
All changes in family status must be reported and forms completed and returned within 31 days of the event. If an employee fails to complete a change in family status within 31 days of the event, the employee will be able to make changes at their next family status change or the next open enrollment period.
Family Status Changes require documentation of the event. Employees incurring a change in family status should contact The Office of Benefits Administration at 330-972-7090.
The University’s Working Spouse/SSDP policy requires spouses/SSDPs of University employees who have access to employer subsidized (at least 50%) medical and dental insurance to elect that coverage as primary. These spouses are only permitted to have secondary access to University medical and dental insurance policies.
For additional information, employees should contact SummaCare 800.753.8429 or The Office of Benefits Administration at 330.972.7090 or email@example.com