Initial Period of Eligibility
You have 31 days from your hire date (initial period of eligibility) to complete benefits enrollment. Employees moving from a non-benefits eligible status to a benefits-eligible status also have 31 days from their change of status (initial period of eligibility) to complete benefits enrollment. If elections are not made within the 31-day initial period of eligibility, you will be required to wait until the next Annual Enrollment or a qualified change of status event to make changes, including adding or dropping coverage. Enrolling in certain insurance coverage may require evidence of insurability (EOI) or dependent documentation.
You may enroll in or make changes to benefits during your initial period of eligibility through your institution HR/Benefits office.
Newly hired employees and their dependents may be required to satisfy a state-mandated waiting period before enrollment in the UT SELECT Medical plan is allowed and state premium sharing is available. The waiting period can be from 90 to 120 days depending on the date your employment began. You may enroll in coverage for the voluntary plans within your initial period of eligibility and may begin receiving voluntary plan benefits on your date of hire or the first of the following month. If EOI is required and approved, the coverage will begin the first of the month following approval of your application.
Your institution may choose to supplement premium sharing for all or part of the waiting period. Consult with your institution Benefits Office for additional information regarding the waiting period.
Prior to Annual Enrollment, you will receive a letter or email titled “Your U.T. Benefit Enrollment Options” that lists your current coverage and future coverage options and informs you if any action is required on your part. For plan year 2012-2013, Annual Enrollment will be held July 15–31, 2012. During this time you may change your group insurance benefit elections and add, update or remove dependents from coverage using the My UT Benefits online system.
UT FLEX participants must enroll or re-enroll each year to participate in the UT FLEX Health Care and/or Dependent Day Care reimbursement accounts.
Your Annual Enrollment elections become effective September 1, 2012. If a coverage requires EOI, and EOI is not approved by September 1, that coverage will be effective on the EOI approval date (Voluntary Life Insurance) or the first of the month following the approval date (all other coverage). If EOI is denied, the change in coverage will not take effect. If dependent documentation is not received or approved, the dependent’s coverage will not take effect.
Change of Status
You have 31 days from the date of a qualified change of status event to notify your institution Benefits Office and complete changes to your benefits that are consistent with that event. If you do not make your eligible changes during the 31-day status change period, your changes cannot be made until the next Annual Enrollment in July, to be effective the following September 1.
The list below includes common examples of qualified change of status events:
- marriage, divorce, annulment, or spouse’s death;
- birth, adoption, medical child-support order, or dependent’s death;
- significant change in residence if the change affects you or your dependents’ current plan eligibility;
- starting or ending employment, starting or returning from FMLA, or other change of job status (e.g., from non-benefits eligible part-time to full-time) affecting eligibility;
- change in dependent’s eligibility (e.g., reaching age 26 for UT SELECT Medical, marriage or reaching age 25 for all coverage other than UT SELECT Medical, or gaining or losing eligibility for any other reason); or
- significant change in coverage or cost of other benefit plans available to you and your family.
- whose dependent loses insurance coverage under the Medicaid or CHIP program as a result of loss of eligibility of either the employee or the dependent; or
- whose dependent becomes eligible for a premium assistance subsidy under Medicaid or CHIP may enroll this dependent in the basic coverage under UT Benefits, as long as the dependent meets all other UT eligibility requirements and is enrolled within 60 days from the date of the applicable event. If enrollment of the dependent is conditioned on enrollment of the employee, the employee will also be eligible to enroll.
Note: EOI and dependent documentation may be required for some benefit changes following a qualified change of status event.
You may enroll in or make changes to benefits within 31 days of a change of status through your institution HR/Benefits office.
Evidence of Insurability (EOI)
Evidence of insurability (EOI) is the record of a person's past and current health events. EOI is used by insurance companies to verify whether a person meets the definition of good health. An EOI form is required to:
- Increase or reinstate employee or spouse voluntary group life insurance coverage;
- Add short-term disability coverage after your initial 31-day benefit election period, except following a qualified status change during the plan year;
- Add long-term disability coverage after your initial 31-day benefit election period, except following a qualified status change during the plan year; or
- Add long-term care coverage after your initial 31-day benefit election period. EOI is required at all times for spouse or other family member enrollment.
During Annual Enrollment, completed EOI must be submitted by August 15. If you are not able to complete electronic EOI, the form may be printed and mailed by the deadline to the insurance company for review.
During the initial period of eligibility or following a change of status, EOI must be submitted within 31 days of the change event date. Coverage subject to EOI will become effective on the EOI approval date (Voluntary Life Insurance) or the first of the month following the approval date (all other coverage). If EOI is denied, the change in coverage will not take effect.
It is important to designate beneficiaries for all of your insurance and retirement accounts that require them. If you don’t, state laws may cause death benefits to be distributed differently than you had planned, may result in additional taxes, and may unnecessarily delay the process of finalizing payment to your loved ones. You should regularly review and, if necessary, update your beneficiary designations.
For your UT Benefits group term life and AD&D insurance (which you receive even if you only have the basic coverage), you can review your beneficiary information and make updates any time online by accessing the Dearborn National Online Beneficiary Management system through My UT Benefits at www.utsystem.edu/myutbenefits. If you have not completed a beneficiary designation or you need to revise your designation, you should complete or update your designation as soon as possible. If you have questions or are unable to access the online system, please contact Dearborn National Customer Service at (866) 628-2606 (available Monday through Friday from 7 a.m. to 7 p.m. central time) for assistance.
If you are a member of the Teachers Retirement System (TRS), you should download the TRS beneficiary designation form and return the form directly to TRS. For more information, go to the TRS website at www.trs.state.tx.us or call 1-800-223-8778.
If you are a participant in the Optional Retirement Program (ORP), or the voluntary UTSaver Tax-Sheltered Annuity (TSA) or UTSaver Deferred Compensation Plan (DCP), you should always be sure that a current beneficiary is on file for each of these retirement accounts. You can download the appropriate beneficiary designation form and return the completed form directly to your specific retirement provider. For more information, please visit www.utretirement.utsystem.edu/providers.htm.