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Eligibility

Next: Enrollment

State Police Enlisted Unit Benefit Booklet

ELIGIBILITY

Employees

As an employee, you are eligible for State Vision Plan coverage if you are in any category of Classified State service with an appointment of at least 720 hours duration and if you are:

  • A full-time (FT) employee
  • A part-time (PT) or job sharing (JS) employee working 32 hours or more every bi-weekly pay period
  • A permanent intermittent (PI) employee expected to work every bi-weekly pay period and at least 40 percent of full-time annually (a minimum of 832 hours)

Your eligibility date is the first day of the bi-weekly payroll period following your completion of one full payroll period of employment.

Dependents

You may cover your wife or husband as a dependent as well as eligible dependent children up to age 19. These dependent children can include:

  • Your children by birth, legal adoption, or legal guardianship while they are in your custody and dependent on you
  • Any other unmarried child who lives with you in a parent-child relationship, regularly attends school, and depends solely on you for support
  • Your children by birth or legal adoption who do not reside with you, but are your legal responsibility for the provision of medical care (for instance, children of divorced parents)

When properly enrolled, your dependent’s State Vision Plan coverage is effective the same day as yours unless your dependent is confined in a hospital and the confinement began prior to the effective date of your enrollment. The dependent’s coverage will be delayed until he or she is discharged from the hospital.

Your dependents as of your eligibility date are also eligible for State Vision Plan coverage on the same date. Dependents acquired after your enrollment are eligible on the date they are newly acquired (by marriage, divorce, birth, adoption, residency in your home, etc.).

Existing coverage is automatically continued for incapacitated children age 19 and over. See the Incapacitated Child Continuation provisions under the “Termination of Dependent Coverages” section.

No person will be considered a dependent while in the armed forces of any country.

Dependent Children Between the Ages of 19 and 25

Dependent children who meet the eligibility requirements listed below may continue to be covered under the State Vision Plan as a continuation member after they reach age 19. This dependent coverage may continue to age 25, if they remain eligible. Coverage for these dependents will be exactly the same as yours.

To be eligible, these dependents must meet all of the following requirements:

  • Be unmarried and between the ages of 19 and 25
  • Be solely dependent on you for their support
  • Be living with you in a parent-child relationship
  • Be a student who regularly attends school

No person may be covered both as an “employee” and “dependent” or as a dependent of more than one employee. If the State of Michigan employs both you and your spouse, vision coverages may be carried separately or as one family enrollment with dependent coverage.

In the event the husband or wife who is enrolled as the “employee” separates from State service or enters a leave of absence or layoff, coverage may be transferred at any time to the remaining State employee provided that the remaining employee:

  • Meets the eligibility requirements for enrollment
  • Was covered as a “dependent” of the departing employee or was enrolled separately as an “employee”
  • Notifies his or her human resources office of the desire to transfer enrollment prior to the departure of the spouse from State service

Next: Enrollment

 

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Related Content
 •  Introduction
 •  Enrollment
 •  Termination of Coverage
 •  State Vision Plan General Features
 •  Vision Plan Exclusions
 •  Claim Filing Information

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