What you need to know
If you’re eligible for benefits, you can enroll yourself, your spouse or domestic partner, and/or your dependent children in medical, prescription drug, dental, and vision coverage—plus other voluntary and financial benefits. Your benefits are effective on your first day of employment or the day you become benefits-eligible.
Who’s Eligible for Coverage
You’re eligible for benefits if you’re a regular, full-time employee (36 or more hours per week) or a benefits-eligible part-time employee (generally 20–35 hours per week) of Lawrence + Memorial Hospital (non-union and Public Safety Workers Union). Note: Under the YNHHS Medical Plan, eligibility is a minimum of 24 hours per week, and domestic partners are not covered.
If you’re eligible, you can also enroll:
- Your legal spouse
- Your domestic partner (in the HDHP Medical Plan only)
- Your dependent children under age 26:
- Biological children
- Adopted children, including those placed for adoption
- Foster children
- Any children for whom you are responsible per a court order
- Your dependent children over age 26, if fully dependent on you for support due to a disability and covered by you prior to age 26
Supporting documentation required for dependents
To enroll your dependents, you’ll need to provide applicable supporting documentation such as a marriage certificate, birth certificate, court order, or federal income tax return. For details, visit HRConnect.
Coverage Under Multiple Plans (Coordination of Benefits—YNHHS Medical Plan only)
If you are enrolled in the YNHHS Medical Plan and you or members of your family are covered under more than one medical plan, your plan coordinates benefits to prevent duplication and overpayment of benefits. Here’s how that works:
When you (the employee) are the patient
Your plan will be the first to pay benefits. After you submit a claim, the other plan will then pay benefits according to its policies.
When your spouse/partner is the patient
When your child is the patient and he or she is covered under both parents’ plans
The parents’ dates of birth will drive which plan pays benefits first. The plan of the person whose birthday occurs earlier in the year will pay benefits first. If your plan pays benefits second, its normal benefit will be reduced by the amount paid by the other plan.