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Medical, Dental, Vision Plans

2025 Providers and Rates

2026 Providers and Rates

Who is Eligible?

CHILD(ren)

Must be a natural, legally adopted, or child placed for adoption prior to age 18; a step-child, or domestic partner’s child, under the age of 26. Dependent children that are incapable of self support due to mental retardation, mental illness, or physical incapacity prior to age 26 may remain on coverage with proof of incapacity, if proof is submitted within 120 days of reaching the maximum age.

Any child other than a natural, step-child, or domestic partner’s child, must have legal documentation showing the child has been legally placed for guardianship or adoption purposes, or the coverage is required pursuant to a valid court, administrative or Qualified Medical Child Support Order. Eligibility terminates upon termination of legal obligation.

RETIREES

Dependents must be enrolled 24 consecutive months immediately PRIOR to retirement. Benefits are not extended for new spouses or children, except for a child born to the employee after retirement is effective. Dependent coverage may end the last day of the month in which the retiree dies; contact Benefit Specialist for more information. For spouses or partners 55 years of age or older at the time of retiree's death, coverage may continue until their 65th birthday or upon becoming eligible for Medicare, whichever occurs first.

Eligibility & Enrollment

Domestic Partners

Your domestic partner is eligible for coverage if you have completed a Domestic Partner Affidavit. Please review the affidavit guidelines.

Your children (including your domestic partner's children): Under age 26 that are a natural child, legally adopted or placed for adoption prior to age 18, step-children or children who have been placed under the legal guardianship of the employee or the employee’s spouse. They do not have to live with you or be enrolled in school. They can be married and/or living and working on their own. Dependent children that are incapable of self-support due to mental or physical incapacity prior to age 26 may remain on coverage with proof of incapacity if proof is submitted within 120 days of reaching the maximum age. Please refer to the Summary Plan Description for complete details on how benefits eligibility is determined.

Domestic Partner Imputed Income Letter

Domestic Partnership Affidavit