What you need to know
If you’re eligible for benefits, you can enroll yourself, your spouse, 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. If you change from part-time to full-time or vice versa, your premium changes will be effective the first of the month on or after 30 days of the status change.
Who’s Eligible for Coverage
You’re eligible for benefits if you’re a full- or part-time employee of any of the following:
- Bridgeport Hospital
- Corporate Professional Business Services (CPBS)
- Greenwich Hospital
- Home Care Plus (HCP)
- Northeast Medical Group (NEMG)
- Yale New Haven Care Continuum (Grimes Center)
- Yale New Haven Health Services Corporation (HSC)
- Yale New Haven Hospital
If you’re eligible, you can also enroll:
- Your legal spouse
- 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 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)
When you or members of your family are covered under more than one medical and/or dental 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. The other plan will then pay benefits according to its policies after you submit the claim.
When your spouse is the patient
His/her plan will pay benefits first. Then, your plan will pay its normal benefits, minus any benefits paid by your spouse’s plan. If his/her plan pays benefits that are equal to or greater than the benefits your plan would otherwise pay, your plan will not pay benefits.
When your child is the patient and he or she is covered by your plan and your spouse’s plan
The dates of your and your spouse’s birthday 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.