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Who is eligible for health coverage?

  • Regular status employees who are employed 80% or greater full-time equivalency (FTE).

  • Regular status part-time employees and temporary part-time lecturers (40% to 79% FTE)
  • U of L retirees and their spouses.
  • Spouses of covered U of L employees.
  • Qualifying Adult (see definition below)
  • Child(ren) ( natural children, step children, foster children, legally adopted children, and children placed for adoption) to the end of the calendar year in which they turn 26.
  • Unmarried child(ren) of the employee or the employee's spouse of any age when such children are incapable of self-support because of a total and permanent disability; and
  • Unmarried child(ren) to the end of the calendar year in which they turn 26, for whom the employee is required to provide health care coverage under a qualified medical child support order (QMCSO), regardless of where the child resides or if the child is dependent upon the employee for support.
  • Surviving spouses of U of L employees.
  • COBRA participants.

 

A Qualifying Adult:

  • Must be over 18 years of age, and
  • Must not be eligible for Medicare, and
  • If a blood relative (or relative by adoption or marriage) must be of the same or younger generation of the employee (as used in KRS 391.010), and
  • Must be residing in the employee's household and have done so for a period of at least 12 months, and
  • Must be financially interdependent (for example, have joint checking account or joint mortgage) for 12 months or longer, and
  • Must be unmarried.

PLEASE NOTE: An employee has the choice of covering his/her legal spouse OR one qualifying adult on his/her UofL medical plan, but not both.

 

 How to Add Dependent(s)

You MUST complete and sign the proper forms available in the Employee Benefits Office WITHIN 30 DAYS of the event if you want to make changes due to any of the following occurrences:

  • your marital status changes
  • you obtain eligible dependents
  • you lose previously eligible dependents
  • you need to add a newborn or any other newly eligible dependent to you existing family coverage

 

How to Drop Dependent(s)

Dependent or spouse coverage terminated for any reason, including coverage for dependents dropped from your plan outside Open Enrollment due to divorce or becoming ineligible, will continue through the end of the month of the qualifying event. This includes dependents dropped when the employee marries, spouse gains employment, etc.

 

 

 

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