AlaskaCare Employee Health Plan Eligibility
Benefits are available to permanent and long-term nonpermanent employees of the State of Alaska whose bargaining unit/employee group participates in the Select Benefits Plan and who are:
- 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.
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 through their own employment or the employment of their spouse. A “child” is your natural child; stepchild; legally adopted child; child lawfully placed with you for legal adoption; or child placed with you by an authorized placement agency or by judgment, decree, or other court order of any court of competent jurisdiction.
- Your children age 26 and older who are permanently and totally disabled. Permanent and total disability means the inability to engage in any substantial gainful activity by reason of any medically determinable physical or mental impairment which can be expected to result in death or which has lasted or can be expected to last for a continued period of not less than 12 months. The permanent and total disability must have existed before age 19 and the children must meet the definition of “child” in the preceding paragraph and be unmarried and chiefly dependent upon you for support. You must provide the claims administrator with evidence that the permanent and total disability exists, including proof that it existed before age 19 and proof of financial dependency. Children over age 26 are covered as long as they are permanently and totally disabled. Periodic proof of continued disability 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.