If you plan to elect coverage for your eligible dependents, you will need to include electronic (scanned) documentation of each dependent’s eligibility status at the time of enrollment. For dependents who have social security numbers, you will need to include their social security numbers on their election form.

Qualified dependents generally include:

• Your legally married spouse or civil union partner.
• Your children, including stepchildren and adopted children, up to age 26 for medical and age 19 for dental (disabled children may be covered beyond age 26).
• Children for whom you are legal guardian up to age 18, unless proof of continued dependency is provided (allowing coverage up to age 26 for medical and 19 for dental).

Check Deduction Dates 2019-2020

Graduate Fellow Medical & Dental Rates

2019/2020 Cost of Coverage – Payable via Fall and Spring Semester Fee Bills

Fall 2019 Semester

Dental Insurance Fall 2019 Semester			Medical Insurance
Coverage Type	Graduate Fellow Premium	Total Premium	Coverage Type	Graduate Fellow Premium	Total Premium
Fellow	$67.55	$128.30	Fellow	$83.35	$1,840.30
Fellow + 1	$135.05	$256.60	Fellow + 1	$600.00	$3,736.00
Fellow + Family	$270.15	$513.25	Fellow + Family	$759.15	$5,465.95

Spring 2020 Semester

Dental Insurance Spring 2020 Semester			Medical Insurance
Coverage Type	Graduate Fellow Premium	Total Premium	Coverage Type	Graduate Fellow Premium	Total Premium
Fellow	$94.51	$179.62	Fellow	$116.69	$2,576.42
Fellow + 1	$189.07	$359.24	Fellow + 1	$840.00	$5,230.40
Fellow + Family	$378.15	$718.55	Fellow + Family	$1,062.81	$7,652.33

Under federal and state law, the State of Connecticut is required to offer employees the opportunity to continue their current medical and dental plan options when coverage under the plan would otherwise end because of a qualifying event. An Initial COBRA Notification was made available to employees on their hire date.

To continue the coverage, members would have to pay the full cost of the coverage at group rates, which include an administrative fee.

The COBRA Administrator for the Partnership Plan is United Healthcare Oxford COBRA Unit (1-866-747-0048).

COBRA Monthly Medical Costs 9/1/2019 - 8/31/2020
Employee - $375.42
Employee +1 - $762.14
Employee Family - $1,115.05

COBRA Monthly Dental Costs 9/1/2019 - 8/31/2020
Employee - $26.17
Employee +1 - $52.35
Employee Family - $104.70

The length of continuation is based on the qualifying event.

Qualifying Event	Period of Coverage
Employment Termination	up to 30 months
Reduction in hours	up to 30 months
Leave of Absence Without Pay	up to 30 months
Death of Employee	up to 36 months
Enroll Child Reaches Age Limitation	up to 36 months

The COBRA Administrator will automatically send a COBRA notice shortly following notification of the termination of coverage.

Find a Health Care Provider
Find a Dental Care Provider
Frequently Asked Questions
Medical Benefit Summary
Dental Benefit Summary
Medical & Dental Coverage for Graduate Fellows
State of CT Partnership Medical Benefit Plan Document
State of CT Partnership Pharmacy Benefit Plan Document
AbleTo Counseling Program.pdf

If you have enrolled in the Oxford/United Healthcare system for medical benefits you should be able to obtain your temporary ID card by following these instructions:1. Call UnitedHealthcare (Oxford) at (860) 385-9055 to obtain your ID#
2. Go to https://www.oxhp.com/Member/MemberPortal/
3. Click Register Now
4. Complete the form and click SubmitDon’t have your ID card yet? You may need to change your mailing address. To make a name and/or address change please go to Student Administration AND CORE-CT.