A Matter of Health, Connecting Work & Life Newsletter

July > Special ANNUAL ENROLLMENT Edition for UT System Retirees > Focus on Eligibility

Annual Enrollment Update

Focus on Eligibility

Individuals are prohibited from receiving state premium sharing for coverage from another agency in addition to UT System. UT System will be conducting dual coverage audits which will identify individuals (including dependents, employees and retired employees) who are enrolled in UT SELECT Medical as well as being enrolled in medical coverage provided by Texas A&M University or Employees Retirement System of Texas (ERS). Individuals identified as receiving more than one source of state premium sharing for insurance coverage will be given the opportunity to choose which plan they wish to elect a premium contribution. Individuals who wish to remain enrolled in both plans will be required to pay the full cost of one of the coverages. If you or any of your dependents are enrolled in more than one medical plan offered by UT, A&M, or ERS please use this Annual Enrollment to eliminate dual coverage if possible.

During Plan Year 2011-2012, UT System will also be working with institution Benefits Offices to review the process followed to verify the eligibility of dependents that are added to insurance coverage. When a dependent is added to insurance coverage, proper documentation is required to be provided to your institution Benefits Office to verify dependent eligibility (i.e. birth certificate, marriage license, etc.).
For UT SELECT Medical ONLY, your eligible dependents are:

• Your spouse as defined by Texas state law;
• Your child(ren) under age 26, including stepchildren and adopted children;
•  Your unmarried grandchild under age 25, if the child qualifies and is claimed as your dependent for federal tax purposes;
• Certain children over age 26, who are determined by OEB to be medically incapacitated and are unable to provide their own support; and
• Children for whom you are the legal guardian or for whom you are subject to a medical support order.

For all Voluntary UT Benefits (other than UT SELECT Medical) your eligible dependents are:

• Your spouse as defined by Texas state law;
• Your unmarried child(ren) under age 25, including stepchildren and adopted children;
• Your unmarried grandchild under age 25, if the child qualifies and is claimed as your dependent for federal tax purposes;
• Certain children over age 25, who are determined by OEB to be medically incapacitated and are unable to provide their own support; and
• Children for whom you are the legal guardian or for whom you are subject to a medical support order.