AlaskaCare Employee Health Plan Eligibility

Employees

Benefits are available to permanent and longterm nonpermanent employees of the State of Alaska whose bargaining unit/employee group participates in the AlaskaCare plan and who meet the criteria shown below:

• Full-time or full-time seasonal employees (scheduled to work 30 or more hours a week on a regular basis).
• Part-time employees (scheduled to work at least 15 but less than 30 hours a week on a regular basis) who elect to participate in the plan.

• If you are a part-time employee and want to participate in the State‘s health plan, you must elect coverage within the first 30 consecutive calendar days of employment, following a qualified employment/family status change or during an open enrollment period. You receive one-half of the Benefit Credit only if you elect health coverage.

‘Employees’ are those persons actively working for the State and receiving earnings.

Participating employee groups »

Dependents

Your eligible dependents for health insurance benefits include:

• Your spouse. You may be legally separated but not divorced.
• Same-sex partner as defined and documented by 2 AAC 38.010 - 2 AAC 38.100.
• Your children, including children of same-sex partner (as defined and documented by 2 AAC 38.010-2 AAC 38.100) from birth up to age 26, who are not eligible to enroll in any other employer-sponsored health plan.
• Your children age 26 and older who are incapable of employment because of a mental or physical incapacity. The incapacity must have existed before age 19 and the children must meet the definition of children:
  • Your natural children, stepchildren, foster children placed through a State foster child program, legally adopted children, children in your physical custody and for whom bona fide adoption proceedings are underway, or children for whom you are the legal court appointed guardian;
  • Unmarried and chiefly dependent upon you for support;
    • You must provide the Claims Administrator with evidence the incapacity exists including proof: the incapacity existed before age 19 and of financial dependency. Children over age 26 are covered as long as the incapacity exists and periodic proof of the continued incapacity may be required.

Children that have access to their own employer group plan must enroll in that plan rather than their parent’s plan.

You must notify the Plan Administrator in writing within 60 days of the date your child no longer meets the eligibility criteria.

If you and your spouse/partner both work for the State, you may both be eligible for coverage as employees. You may also be covered as a dependent under these plans. Similarly, a child can be covered as a dependent of more than one employee.

When you are hired, you must list any eligible dependents to be covered on a Group Health Plan Enrollment Form. If your dependents change due to marriage, divorce or other family status changes or when your children are no longer eligible, you must complete a Group Health Plan Change Form to add or delete dependents. These forms are available from your human resources office, the division or its web site. Failure to complete these forms when required may delay payment of health claims for your dependents.

If more than one family member is covered under a State of Alaska health plan, each eligible family member may be covered by this program both as an employee and as a dependent, or as the dependent of more than one employee.