Spousal Eligibility a. For employees hired on or after August 1, 2003: If the spouse of an employee is covered by any PEBTF health care plan, and he/she is eligible for coverage under another employer’s plan(s), the spouse shall be required to enroll in each such plan, which shall be the spouse’s primary coverage, as a condition of the spouse’s eligibility for coverage by the PEBTF plan(s), without regard to whether the spouse’s plan requires cost sharing or to whether the spouse’s employer offers an incentive to the spouse not to enroll.
Spousal Eligibility. If the employee’s spouse is eligible for medical coverage through their own employer, the spouse must use their employer’s insurance as their primary form of coverage. The spouse may remain on the City’s health insurance plan, but the City’s plan will be a secondary plan, and the spouse’s employer’s plan must carry the spouse as primary.
Spousal Eligibility. Spouses with access to subsidized health coverage through their own place of employment, where the employer contributes at least 50% or more of the cost, are restricted to secondary University coverage allowance at full employee cost for the same.
Spousal Eligibility a. For officers hired on or after August 1, 2003: If the spouse of an officer is covered by any PEBTF health care plan, and he/she is eligible for coverage under another employer’s plan(s), the spouse shall be required to enroll in each such plan, which shall be the spouse’s primary coverage, as a condition of the spouse’s eligibility for coverage by the PEBTF plan(s), without regard to whether the spouse’s plan requires cost sharing or to whether the spouse’s employer offers an incentive to the spouse not to enroll.
Spousal Eligibility. 45.1 In accordance with 2015 case law by the Supreme Court of the United States, the University of Toledo will hereby discontinue eligibility to domestic partners as it pertains to any and all University benefits.
Spousal Eligibility. This section shall apply only to employees who began their employment with the Board on or after July 1, 2015. If an employee’s spouse is eligible to participate, as a current employee or retiree in group health insurance and prescription drug insurance sponsored by his/her employer or any public retirement plan that is affordable as defined under the Affordable Care Act, the spouse must enroll in such employer (or public retirement plan) sponsored group insurance coverage within thirty (30) days of the spouse becoming eligible for group health insurance through his/her employer. Upon the spouse’s enrollment in any such employer (or public retirement plan) sponsored group insurance coverage, that coverage will become the primary payor of benefits. Any spouse who fails to enroll in any group insurance coverage sponsored by his/her employer or any public retirement plan, as required by this Section, shall be ineligible for benefits under such group insurance coverage sponsored by the Board of Education. Every employee whose spouse participates in the Board of Education’s group health insurance coverage and prescription drug insurance coverage shall complete and submit to the Board of Education, upon request, a written certification verifying whether his/her spouse is eligible to participate in group health insurance coverage and prescription drug insurance coverage sponsored by the spouse’s employer or any public retirement plan within thirty (30) days of the spouse becoming eligible for group health insurance. Additional documentation may be required. If the employee submits false documentation the employee may be subject to disciplinary action by the Board, up to and including termination of employment.
Spousal Eligibility. When the spouse of a member is employed on a full‐time basis (defined as 32 or more hours of work per week) or retired and the spouse’s employer or retirement plan makes health care coverage available to the spouse—regardless of the cost—the City’s coverage of the spouse shall be limited to being secondary to the coverage that is available from the spouse’s employer or retirement plan. As an alternative to obtaining health care coverage from their primary employers, employed spouses may elect to enroll in the City’s health care plan by paying a monthly premium equal to the greater of 2/7 the established premium rate for single coverage or any sum received by the employed spouse from his/her employer to decline health care coverage from said employer. In the event the member’s spouse ceases to have health care coverage available from his/her employer, either through a change in employment status, or through the employer’s cessation of health care benefits, then the member’s spouse shall be immediately returned to the City’s health care plan. In the event a married couple are both employed by the City of Cuyahoga Falls, each will be enrolled with single coverage, provided that if they have dependent children, the married couple shall be enrolled together under a single enrollment for family coverage or single and employee/child(ren) coverage. No employee or dependent shall be covered under more than one health care plan offered through the City of Cuyahoga Falls Health Benefits Plan.
Spousal Eligibility. The District will only provide health care coverage to an eligible full-time professional employee’s spouse if the spouse does not have health care coverage available through his/her employer. The employee and his/her spouse must certify that coverage is not available and must also authorize the District to verify the coverage status of the spouse. If the spouse does have coverage available, the employee may obtain coverage for his/her spouse from the District by purchasing such coverage at 100% of the additional cost. The following rules shall apply when an eligible employee and their spouse are both employed by the District:
Spousal Eligibility employed spouses of Bus Aides who are eligible for medical insurance through their own employer by an employer-sponsored plan, must take the least expensive single plan through their own employer provided that the spouse’s portion of the monthly premium is less than $185 effective with the 2021-22 school year. This threshold provision will automatically increase by $5.00 per month per year; $190 for 2022-23, $195 for 2023-24. Bus Aides are automatically exempt from this provision if their spouse is not employed or is employed but does not qualify for insurance through their employer. All Bus Aides enrolling for medical insurance benefits, including those who are single or automatically exempt, must complete and turn in the Spousal Eligibility Rule Form to the Treasurer’s office annually during the enrollment period(s).
Spousal Eligibility. Employed spouses of employees who are eligible for insurance through their own employer by an employer-sponsored plan, must take, at the minimum, the least expensive single plan through their own employer if the spouse’s portion of the premium cost is less than one hundred sixty five ($165.00) per month for his/her plan. Employees are automatically exempt from this provision if their spouse is not employed or is employed but does not have insurance available or does not qualify for insurance through their employer. All employees eligible for insurance benefits, including those who are single or automatically exempt, must complete and return the Spousal Eligibility Rule Form to the Treasurer’s office annually during the enrollment period.
