Eligibility
You are eligible to participate in The Christ Hospital’s benefit program if you are a:
- Full-time employee (.75 – 1.0 FTE) budgeted to work 30 hours or more per week
- Part-time employee (.5 - .7499 FTE) budgeted to work between 20 and 29.99 hours per week.
Supplemental Staffing Pool (SSP) employees are eligible for medical, dental, vision and flexible spending account (FSA) benefits.
PRN employees (.01 to .4999 FTE) - are eligible to participate in the 403b Retirement Savings Plan only. If employment status changes to Part-time or Full-time, additional benefit eligibility is determined at the time of the employment status change.
Important Benefit Election Deadlines
The following information about important enrollment dates is in compliance with federal regulations:
As a newly benefit eligible employee, or an employee with a recent qualified event, you have 30 days from your date of hire (or date of the qualified event) to make your benefit elections. Even if you do not need medical, dental, vision, or flexible spending account benefits, you must still make an election to waive the benefits you do not need. Your benefits are effective the 1st of the month after your hire date or qualifying event.
Should you choose not to go through the benefit election process, your Medical, Dental, Vision, Flexible Spending Account, Health Savings Accounts, and Voluntary Life Insurance will be waived.
Eligible dependents include:
- Your legal spouse.
- Your domestic partner*, a person who:
- Has been in a domestic partner relationship with you for at least 12 consecutive months, has shared your principal place of residence for at least 12 consecutive months prior to the effective date of coverage and intends to do so indefinitely
- Shares domestic and financial responsibilities for your household
- Is not related to you by birth or marriage
- Is not legally married to, or the domestic partner of, any other person
- Is over the age of 18
- You or your legal spouse’s dependent children up to age 26, including:
- Biological children
- Adopted children
- Children for whom you have legal guardianship
- Your disabled children of any age if they become unable to earn a living before they reach age 26
If an Employee is enrolled in a TCHHN medical plan, they cannot also be a Dependent on another family member's TCHHN medical plan.
Working Spouses and/or Domestic Partners
If your spouse or domestic partner has access to medical insurance through his or her employer, he or she is not eligible for coverage on your medical plan. However, coverage is available to them on other benefit options. You must submit a notarized affidavit signed by you and your domestic partner to enroll your domestic partner in TCHHN benefits.
Click here to access the Domestic Partner Affidavit
Medicare Eligible Team Members
If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Refer to the Medicare Section for more information.
Effective January 1, 2023, TCHHN is offering enhanced dependent eligibility for Medicare-eligible team members. Team members who are enrolled in Medicare will be able to enroll otherwise eligible dependents on the TCHHN medical plans. See the Medical & Prescription Drug section for more information.
When you experience a major life event, such as getting married or having a child, there are many changes — including updates to your benefits. While you cannot change the plans you are enrolled in, you can change your coverage level as long as you report the qualifying event and make benefit elections in TCHpoint within 30 days of the life event. Refer to this checklist for what you need when you experience a qualified life event and contact the Total Value team at 513-263-1500 for directions on how to make your changes.
You Get Married
Action | Required Documentation |
---|---|
Add your spouse to your benefits coverage | -A certified copy of your marriage certificate AND -Dependent Insurance Inquiry Form AND -most recent tax documentation* *If the marriage occurred in 2022 and/or your spouse is not listed on your tax return, two alternate joint documents may be submitted (i.e., utility bill, mortgage statement, auto insurance statement, property tax statement) |
Add a stepchild to your benefits coverage | -A certified copy of your marriage certificate AND -most recent tax documentation to verify you and your spouse's marriage status AND -A certified copy of stepchild's birth certificate |
You Become a Parent
Action | Required Documentation |
---|---|
Add a child as a dependent due to birth | -A certified copy of your child's birth certificate (must list name of child and parents) OR -Court document (paternity test or divorce decree) -If the birth occurred within the last 12 months, a hospital certificate is sufficient |
Add a child as dependent due to adoption | -A certified copy of your child's birth certificate (must list name of child and parents) OR -Court document (paternity test or divorce decree) -If adoption is pending, current Proof of Placement documents are sufficient (statement from adoption agency or court placing the child in the enrollee's home) |
Add a child as dependents due to legal guardianship, legal custody, or responsible for by court order | -Current court document assigning minor child to employee under legal guardianship -Child for which the employee or spouse has legal custody whose age is less than the limiting age is eligible for benefits. |
You Become Divorced or Separated
Action | Required Documentation |
---|---|
Remove your spouse from your benefits coverage | Legal documentation of the divorce or separation |
Update your beneficiaries | Health Savings Account (HSA) beneficiaries Basic Life and Voluntary Life beneficiaries Whole Life beneficiaries 403(b) plan beneficiaries |