Enrolling in Benefits
Benefits coverage for active employees working a minimum of 40 hours per pay period (.5 FTE) and full-time employees working a minimum of 60 hours per pay period (.75 FTE) begins on the first of the month following 30 days of employment.
Eligible Dependents
When you enroll yourself in medical, dental, and/or vision coverage, you may also cover your eligible dependents, including:
- Your legal spouse or qualified domestic partner
- California Registered Domestic Partner if you have filed a Certificate of Domestic Partnership with the State of California – Certificate must be submitted to Human Resources (HR). The IRS requires that you pay taxes for your domestic partner coverage. Any premiums for your domestic partner paid for by PIH Health are taxable income and will be included on your paycheck. Any premiums you pay for your domestic partner will be deducted on an after-tax basis.
- Children named in a Qualified Medical Child Support Order (QMCSO)
- Children under the age of 26, regardless of student, dependency or marital status
- Children who are past the age of 26 and are fully dependent on you for support due to a mental or physical disability and who are indicated as such on your federal tax return.
Making Changes After Open Enrollment
After Open Enrollment ends, you cannot change your benefits and will have to wait until the next Open Enrollment—unless you experience a Qualified Life Event (such as marriage, birth, or loss of coverage). You have 30 days to elect your benefits or make changes after a Qualified Life Event.
Common Qualified Life Events Include
- Marriage
- Welcoming a new child
- Loss of coverage
- Leave of absence
- Loss or change in employment