Eligibility

You are eligible for benefits if you are a regular, full-time employee working an average of 30 hours per week. Coverage (as a new hire) is effective the first of the month after completing 60 calendar days of full-time employment.

• You may also enroll eligible dependents for benefits coverage, the cost to you for dependent coverage will vary depending on the number of dependents you enroll in the plan and the particular plans you choose.
• When covering dependents, you must select the same plans for your dependents as you select for yourself.

Qualifying Life Events

Once you elect your benefit options, they will remain in effect for the entire plan year until the following Open Enrollment. You may only change coverage during the plan year if you experience a Qualifying Life Event, and you must do so within 31 days of the event

Qualifying Life Events Include:

• Marriage, divorce, legal separation or annulment
• Birth, adoption or placement for adoption of an eligible child
• Death of a spouse or child
• Change in your spouse’s employment that affects benefits eligibility
• Change in your child’s eligibility for benefits (reaching the age limit)
• Change in residence that affects your eligibility for coverage
• Significant change in coverage or cost in your own, your spouse’s or child’s benefit plans
• FMLA Leave, COBRA event, Court Judgment or Decree
• Becoming eligible for Medicare or Medicaid

Eligible Dependents Include:

• Your legal spouse
• Children under the age of 26, regardless of student status
• Children who are fully dependent on you for support due to a mental or physical disability, and who are indicated as such on your federal tax return; coverage may continue past age 26.

At UDA we have a self-funded medical plan.

This means UDA takes on the cost and risk of benefit claims and partners with a Health Plan Administrator to administer the plan.

Our Health Plan Administrator is Boon-Chapman.

The PPO plans allow access to both In-Network and Out-of-Network providers, but you will get better discounts and pay less money by remaining In-Network.

When you use providers from within the Aetna Signature Providers network, you receive benefits at a discounted network cost.

All Out-of-Network services are subject to the amount determined to be eligible by the health plan and you are responsible for all charges over this allowance.

Important Reminder!

UDA's insurance plan is NOT offered through Aetna.

We are contracted to use providers participating in the Aetna network, however, our insurance is administered and verified through Boon Chapman.