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Health Insurance Information 

Affordable Care Act
Enrollment Changes for 2015

 

The following applies to only active employees, including students, temporaries, or regular faculty or staff, who are not currently benefit eligible.  There is no change for benefit eligibility for regular employees with appointments of 50% or greater.  Regular benefit eligibility dates and requirements are not impacted.

Active employees, including students, temporaries, or regular faculty or staff, who are not currently benefit eligible, but who work an average of 30 hours or more during the measurement period, are eligible for a single health insurance plan - paid either in full or partially by the employing department, based on their employment status.  This cost will be charged to the employing department, and will not be covered by the Fringe Benefit Pool System.

The 30 working hours will be determined by the using a measurable period of October 1 through September 30 of each year.  See chart below for 2015-2017 examples.

Oct. 1,
2013
Nov. Dec. Jan. Feb. March April May June July Aug. Sept. 30,
2014
Measurement Period for Eligibility for Health Insurance Coverage for 2015
 
Oct. 1,
2014
Nov. Dec. Jan. Feb. March April May June July Aug. Sept. 30,
2015
Measurement Period for Eligibility for Health Insurance Coverage for 2016
 
Oct. 1,
2015
Nov. Dec. Jan. Feb. March April May June July Aug. Sept. 30,
2016
Measurement Period for Eligibility for Health Insurance Coverage for 2017

 

New hires after October 1, 2013 will be included in the pool of employees being measured for eligibility for health insurance coverage for 2015 from the point of hire forward.  

Each week (and only the weeks) in which the individual worked will be included in the average calculation.  E.g. - If a person only works 10 weeks out of the entire measurement period, the average hours worked during those 10 weeks would be what was used to determine eligibility. 

Faculty will be given 2 hours of prep time for each credit hour that is taught for a total of three hours.  A faculty member teaching 10 credit hours in a semester would have a 30 hour average for the weeks of the semester. 

If an employee is terminated during the measurable year and is rehired during the 26 weeks following the termination, than the prior employment time will be included for counting purposes or for eligibility for insurance coverage. Breaks longer than 26 weeks will result in the person being treated as a new hire.

If an employee becomes eligible for insurance due to the 30 hour rule, the insurance will commence the 1st of January following the measurable period.

Each year stands alone. An employee could qualify one year and not the next year based upon the average of the hours worked.  If an employee that had coverage did not qualify in a measurement period, their eligibility for coverage would end the following January 1st.

If you have questions or need more information, please contact the Benefits Office.

 

Updated 6/13