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Dependent Eligibility

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Section 11 - STATE SPONSORED GROUP INSURANCE PLANS 

DEPENDENT ELIGIBILITY  


LEGAL SPOUSES - Legally recognized under Michigan law 

An employee's legal spouse may be covered as a dependent under the health care, dental care, vision care and dependent life insurance options as long as he or she is not also separately enrolled (at the same time) as a State employee or retiree in the same category of insurance (for example, Health Plan or HMO). 

Ex-spouses are not eligible to be listed as dependents. Contact the MI HR Service Center immediately to cancel an ex-spouse's enrollment(s).  You must provide, within 31 days of the divorce, a copy of your divorce decree to the MI HR Service Center.  Your ex-spouse will be provided an application to continue State-sponsored health, dental and vision coverages in his or her own name for up to 36 months by making direct premium payments pursuant to federal COBRA regulations. Conversion health care and life insurance policies are also available directly from the insurance plan administrators. COBRA and conversion options are explained in each benefit booklet. 

CHILDREN 

NOTE: State-employed married or divorced employees carrying independent enrollments may cover their children in either parent's plan, as long as each child is only covered once. 

In the event employees cannot agree which parent will cover the child(ren), the parent whose birthday falls closest to the first of the calendar year will cover the dependent child(ren). 

Click here for information on dependent eligibility. 


INELIGIBLE CHILDREN 

Children not meeting dependent eligibility requirements are not eligible.   Unless documentation is provided, claims payments will end on: (1) the day before the dependent's 19th birthday (unless coverage is continued as outlined above), (2) the day before the dependent's 25th birthday (unless the dependent is incapacitated), (3) on the date your child marries, or (4) at the end of the pay period in which your dependent otherwise becomes ineligible (i.e. upon college graduation). You must contact the MI HR Service Center immediately to cancel an ineligible child's enrollment(s). Your ineligible child will be provided an application to continue coverages in his or her own name for up to 36 months by making direct premium payments pursuant to federal COBRA regulations. A conversion health insurance policy is also available directly from the insurance plan administrator. COBRA and conversion options are explained in each benefit booklet. 

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Related Content
 •  Open Enrollment Brochures
 •  Required Documentation & Contact Information
 •  Employee Eligibility

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