Unless otherwise specified in an applicable Collective Bargaining Agreement, or by specific terms of employment, an employee must work at least 50% of the hours of a full-time equivalent employee to be eligible for a medical benefit plan.

 

Medical, Dental, Prescription and HEP Eligibility by Audience

The following dependents are eligible for coverage under an employee’s health insurance:

• Employee’s legally married spouse or civil union partner;
• Employee’s children, including stepchildren and adopted children, up to age 27 for medical insurance and age 19 for dental insurance.
• Children residing with the employee for whom the employee is the legal guardian (up to age 18) unless proof of continued dependency is provided.
• Disabled children may be covered beyond age 26 for medical insurance or age 19 for dental insurance, with appropriate documentation from the medical insurance carrier.

 

Required Documentation of an Eligible Spousal / Dependent Relationship

 
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Medical/Prescription Coverage at Group Rates (unsubsidized)
Adjunct faculty hired to teach nine or more credit hours in aggregate per semester across multiple State of Connecticut university/college systems are eligible for reimbursement of the state share of health insurance premium costs subject to a number of conditions identified in the memorandum. Adjunct faculty will be billed for the monthly premiums. Interested adjunct faculty are asked to carefully review the conditions established by the Comptroller’s Office. The details of the program are provided in the memorandum.The refund amount will vary based on the health options selected and dependents covered, as identified on the Health Insurance Refund Calculation.Adjunct faculty who elect group health insurance and who are contracted to teach at least one course each semester of the academic year have the option to be paid over 26 pay periods. This will provide continuous health insurance eligibility over the full year.

Temporary employees who work 30 or more hours a week, Medical/Prescription Coverage is available at Group Rates (unsubsidized).

The Comptroller's office oversees and manages the pharmaceutical benefits for state employees. The state's pharmacy plan is administered by CVS Caremark.

 
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The Health Enhancement Program (HEP) has several important benefits. First, it helps you and your family work with your medical providers to get and stay healthy. Second, it saves you money on your health care. Third, it will save money for the State long term by focusing our health care dollars on prevention. It’s your choice whether or not to participate, but there are many advantages to doing so.

When you and all of your enrolled family members participate in HEP, you will pay lower monthly premiums and have no deductible for in-network care for the plan year. If one of you has a chronic condition (review the Employee Benefits Resources website), you may also receive a $100 payment, provided you and all enrolled family members comply with HEP requirements. You also save money on prescription drugs to treat that condition.

How to Enroll in HEP Current Employees:
For those who are not currently participating in HEP, you can enroll during open enrollment. Forms are available at: http://osc.ct.gov. Those who participate in HEP and successfully meet all of the requirements will be automatically re-enrolled in HEP again future years and will continue to pay lower premiums for their health care coverage.

Under federal and state law, the State of Connecticut is required to offer employees or over-age dependents 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.

2019-2020 COBRA Medical Rates
2019-2020 COBRA Dental Rates

The length of continuation is based on the qualifying event.

Within 14 days following the loss of coverage, the Benefits Unit will mail a COBRA notice to the home address on file with the State. Please note that COBRA notices are system-generated and cannot be produced prior to the loss of coverage event.

Please contact the HR Service Desk or call (860) 486-3034 if you have questions or did not receive a COBRA notice.

If you have received a COBRA notice and have questions regarding your coverage, please call Anthem Blue Cross and Blue Shield COBRA Continuation Unit at 1-800-433-5436.