Eligibility

Who is eligible?

Eligible Employees include officers or employees of state agencies, departments or institutions participating in the State of Idaho group insurance plan, who are working twenty (20) hours or more per week and expected to work at least five (5) consecutive months.

Eligible Dependents include legal spouses and children up to their 26th birthday. Employees will need to proactively work with their HR/Payroll office to update their payroll deductions when they have a dependent reaching age 26. Review the Qualifying Life Event section for detailed timelines for adding/removing dependents from coverage.

Overaged Dependent Adult Children may be allowed on the plan if they have a qualifying disability. Please review the plan documents and call the carrier for specific details. The carrier may require you to complete certification paperwork as before allowing the enrollment of an overaged dependent adult child.

Who is ineligible?

Ineligible Employees are those classified as a “seasonal employee” or a “part-time temporary” employee. 

• Seasonal Employee. A position which the customary annual employment is six (6) months or less. 
• Part-Time Temporary Employee. Expected, at the time of hire, to work twenty (20) hours or more per week but less than thirty (30) hours per week, and whose term of employment is not expected to exceed five (5) consecutive months.