Eligibility and Enrollment
Review who is eligible, when coverage begins, and how to make changes during the year.
ELIGIBILITY AND ENROLLMENT
Who Is Eligible
If you are an employee of Everon who is regularly scheduled to work at least 30 hours per week, you are eligible to participate in medical, dental, vision, life and disability plans, and additional benefits.
When Coverage Begins
Your elections are effective the first of the month following 31 days from date of hire.
Eligible Dependents
- Your legal spouse/domestic partner (or common-law spouse where recognized).
- Children under the age of 26 (includes birth children, stepchildren, legally adopted children, children placed for adoption, foster children, and children for whom you or your spouse/domestic partner have legal guardianship).
- Dependent children 26 or more years old, unmarried, and primarily supported by you and incapable of self-sustaining employment by reason of mental or physical disability which arose while the child was covered as a dependent under this plan (periodic recertification may be required).
- Dependent coverage: under the age of 26
Qualifying Life Events
- A change in your legal marital status (marriage, divorce, or legal separation)
- A change in the number of dependents (through birth or adoption or if a child is no longer an eligible dependent)
- A change in a spouse/domestic partner's employment status (resulting in a loss or gain of coverage)
- A change in employment status from full time to part time, or part time to full time, resulting in a gain or loss of eligibility
- Entitlement to Medicare or Medicaid
- Changes that make you no longer eligible for Medicaid or the Children's Health Insurance Program (CHIP)
- Death in the family (leading to change in dependents or loss of coverage)
- Turning 26 and losing coverage through a parent's plan
- Changes in address or location that may affect coverage
- Eligibility for coverage through the Marketplace (Healthcare.gov)