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MEDICAL INSURANCE Eligibility
Employee
Employees are eligible for group medical insurance coverage if they are employed in a "Regular” position with an FTE of .5 or greater or employed in a "Temporary” position for more than 6 months with an FTE of .5 or greater.

Child
The following unmarried dependent children may be eligible for coverage:
Natural-born or legally adopted child who has not reached the limiting age of 19.
Stepchild who is living in the employee's home and is chiefly dependent on the employee for support, and who has not reached the limiting age of 19.
Child for whom the employee has legal guardianship and who has not reached the limiting age of 19. Appropriate documentation must be provided to verify the court appointed legal guardian status.
Mentally or physically handicapped child who has attained the limiting age of 19. Coverage may be continued beyond age 19 if proof of disability is provided within 31 days of attaining age 19. (If a student (ages 19 through 23), proof of disability must be provided within 31 days of the disability).
Child of a deceased employee who has not reached the limiting age of 19.

Dependent children who are employed at the University of Nebraska in a benefits eligible position may not be covered as a dependent on their parent’s university medical insurance plan.

Student (ages 19 through 23)
The following unmarried dependent children may be eligible for coverage:
Dependent child who has not reached the limiting age of 24 and is a full-time student.
Dependent children who are students (ages 19 through 23) must have the employee’s same principal place of residence for more than half of the year and receive over half of his or her support from the employee.

Full-time student status generally requires a dependent to enroll for 12 or more undergraduate (9 or more graduate) credit hours each semester. The number of credit hours required for full-time student status is based on each school's definition of a full-time student.

Effective Date of Coverage
Coverage is effective on the first day of the month following the employee's date of hire or eligibility. Coverage for employees hired on the first day of the month or first working day of the month is effective immediately.

Change in Status Guidelines
Employees may enroll, cancel, or change their medical insurance coverage category during the calendar year when 1) a qualified change in status event occurs and 2) the employee's requested change is consistent (on account of and corresponds to) with the event that results in the employee, spouse, or dependent child gaining or losing medical coverage eligibility.

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