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Part I — Earlham Benefits
Section 2
Group Health Care
Coverage under a group health care plan providing
hospital and medical expense benefits is available to all full-time
employees
upon their beginning date of
employment. A staff employee has a thirty-one (31) day enrollment period from
his/her beginning date of employment in which to decide whether to participate
in the group health insurance plan. If an employee wishes to enroll in the
plan or to add dependent coverage after this enrollment period,
it will be necessary
to provide evidence that the employee and any dependents desiring coverage
meet the requirements established by the health plan before
participation under the
plan can be permitted. The cost of the plan is divided between Earlham and
the employee, with Earlham paying all of the employee-only
premium and 50% of the
dependent premium for staff employees and 25% for teaching and administrative
faculty.
Family member benefits are available to a spouse and unmarried
dependent children under 19 years of age, including any
family member who is also an employee
of Earlham College. Unmarried dependent children who are full-time students
are
eligible for coverage until their 25th birthday. If an employee does not
have a family at the time of his/her initial enrollment,
he/she will be given a
thirty-one (31) day enrollment period for dependent coverage beginning on
the date that
he/she is married and upon the birth or adoption of the first child. If dependent
coverage is not elected during established enrollment periods, and later
desired, it will be necessary to provide evidence that
the spouse and/or unmarried dependent
child meet the requirements established by the health plan. Contact the Business
Office for further information.
Health care coverage for full-time employees begins
on the first day of employment. If elected, health care coverage
for dependents
begins on the first day of
the first full pay period worked following the first day of employment
or on the
first day of employment if that is the first business day of the full pay
period.
Same-sex domestic partners may be eligible for dependent
coverage. For further information, contact the Business Office.
In the event that a full-time employee is disabled
and receiving either Workman's Compensation or Long-Term Disability
Benefits,
Earlham will
continue to pay
the employer portion of the employee's group health care premium. While
disabled, the employee is responsible for paying the employee share.
If the employee
has
a past due premium, then at the sole discretion of the College the
health care coverage may be terminated.
Eligibility ceases on the last day of employment.
All employees are eligible to continue their health insurance coverage
for
themselves
and their
dependents as by federal law (COBRA). Contact the Business Office
for details.
A booklet that explains the plan in detail is available
from the Business Office. When an employee becomes insured, he/she
will receive
the booklet
and an identification
card. All claims are filed directly with the health care plan administrator.
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