Eligibility and Methodology to Determine Benefits. Each eligible employee will receive benefits in accordance with the following:
Eligibility and Methodology to Determine Benefits. Each eligible employee will receive benefits in accordance with the following: Employees, including substitute employees, who are anticipated to work 630 or more hours over the course of a school year are eligible for full benefits under SEBB. A school year is defined as September 1 through August 31. Paid leave hours shall also be used in the calculation of the annual 630 hours for eligibility. Employees on unpaid leave will retain their employee/employer relationship. Any employee who has worked 630 hours in each of the previous two (2) years and is returning to the same type of position is presumed eligible for benefits. All contracted work hours, including paid sick leave hours, in any position within the district shall count for purposes of establishing eligibility. When an employee is hired into a position that would qualify for benefits if filled for the full eligibility year, and there are not enough days remaining in the year to achieve 630 hours required for eligibility, that employee will be provided with benefits coverage utilizing the HCA’s formula for such purpose. After the start of the school year, and at such time as an employee has worked or is anticipated to work 630 hours, the employee will be enrolled in SEBB and begin receiving benefits on the first working day of the next month. Employees may enroll eligible dependents during the open enrollment period. Eligible dependents, for the purpose of SEBB include: Legal spouse or state registered domestic partner Child up to age 26 (biological and adopted children, children of the employee’s spouse or state-registered domestic partner, children for which a court order of divorce decree created a legal obligation to provide support or health care coverage, and children of any age with a developmental or physical handicap who are not capable of self-support) Upon moving to the new plan, should an employee have dependents that were covered as of December 31, 2019, but who no longer qualify for coverage under SEBB, the employee will have the opportunity to enroll these dependents at the employee’s cost for a period up to 36 months. Such payments will be made to HCA for this purpose. Eligible employees, who have other employer-based medical insurance coverage, Tricare, or Medicare may waive SEBB medical insurance and not be responsible for a monthly premium. Waiving SEBB medical coverage in a given year does not prohibit an eligible employee from enrolling in subsequent years. All eligible employ...
