General Benefits Information/Eligibility

General Benefits Information/Eligibility Eligibility Requirements

• The employee must be employed by Fort Mill School District on a permanent and full-time basis, working 30 or more hours per week.
• Part-time employees may also be eligible based on their position.
• The employee must complete appropriate election forms with 31 days of the date of employment or status change.
• Enrollment Deadline: 31 days from hire date

Effective Date: State Insurance

• Employed on the 1st day of the month, coverage begins on that day.
• Employed on the 1st working day of the month, coverage may begin on the 1st day of that month or the following month.
• Employed after the 1st working day of the month, coverage begins the 1st day of the following month.

Health Insurance Cards: Issued by the vendor within 3 weeks of enrollment.

Open Enrollment for Dental: October, in odd-numbered years.

State Standard Health Plan and Savings Plan – (Important Points)

• Worldwide access to network hospitals/physicians through the Blue Card Program.

• Spouse/Children (younger than 26): Eligible dependents may be added to coverage.

• Making Changes to Insurance Program: Eligible employees may make certain changes to benefits during designated enrollment periods and within 31 days of a family status change or special eligibility situation.

• Tobacco User Certification: Enrolling a health plan will require certification as a tobacco or non-tobacco user. If only you, as the employee, are enrolled and use tobacco, there will be an additional $40 per month surcharge added to the health premium. If dependents are covered (even if only one out of the group uses tobacco), an additional $60 per month surcharge will be added to the health premium.

• Transferring Employee: As an active employee, PEBA Insurance Benefits considers you a transfer if you change employment from one participating group to another with no break in insurance coverage or with a break of employment of no more than 15 calendar days. A transfer is not a new hire for insurance purposes. He must remain enrolled in the same insurance benefits in which he was enrolled at his former employer.

• Separating Employee: Employee's benefits will terminate on the first day of the following month of the employee's termination date. COBRA packets will be mailed within two weeks of the termination date.