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Eligibility for University of Michigan Benefits by CareerGroup by twa17837

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									                                           Eligibility for University of Michigan Benefits by Career/Group

Group                              Eligibility Criteria1                                     Eligible                                                         Not Eligible

Faculty                            • You are a regular faculty or staff                      • Medical Insurance2
Staff                              member, including primary and                             • Dental Plan (Option 1, 2, or 3)
LEO Lecturers II/III/IV            instructional staff                                       • Vision Plan
AFSCME                             • You have at least a 50% appointment                     • Basic Long-Term Disability (AFSCME
POAM                               lasting four continuous months or                         members only)
MNA                                longer (exception: for Long-Term                          • Expanded Long-Term Disability
IUOE                               Disability, your appointment must last                    (Supplemental Faculty appointments and
Trades                             eight months or more)                                     AFSCME members are not eligible)
                                   • Basic Retirement Plan and SRA                           • University Life, Optional Life, and
                                   eligibility only requires a 1% or greater                 Dependent Life Insurance
                                   appointment and funding for four                          • Long-Term Care
                                   consecutive months or longer                              • Legal Plan
                                                                                             • Flexible Spending Accounts
                                                                                             • Travel Accident Insurance and Secure
                                                                                             Travel Plan
                                                                                             • Basic Retirement Plan, SRA, and 457(b)
                                                                                             • MHealthy Rewards3
                                                                                             • MHealthy Programs4

Supplemental                       • You have a 50% or greater                               • Medical Insurance2                                             • Basic Retirement Plan if less
LEO Lecturers I                    appointment and funding for four                          • Dental Plan (Option 1, 2, or 3)                                than a 50% appointment
                                   continuous months or longer                               • Vision Plan                                                    • Long-Term Disability
                                                                                             • University Life, Optional Life, and
                                                                                             Dependent Life Insurance
                                                                                             • Long-Term Care
                                                                                             • Legal Plan
                                                                                             • Flexible Spending Accounts
                                                                                             • Travel Accident Insurance and Secure
                                                                                             Travel Plan
                                                                                             • Retirement Plan (Basic)
                                                                                             • SRA and 457(b) with a 1% or greater
                                                                                             appointment for four consecutive months or
                                                                                             longer
                                                                                             • MHealthy Rewards3
                                                                                             • MHealthy Programs4

GSI                                You have less than a 25% appointment                      • GradCare2                                                      • Dental Plan (Option 2 or 3)
GSSA                               and funding for one full term. You must                   • Dental Option 1                                                • Vision Plan
                                   pay 50% of the premium for Dental                         • Long-Term Care (50% appointment)                               • Long-Term Disability
                                   Option 1.                                                 • Travel Accident Insurance and Secure                           • University, Optional, and
                                                                                             Travel Plan                                                      Dependent Life Insurance
                                                                                             • SRA and 457(b) with a 1% or greater                            • Flexible Spending Accounts
                                                                                             appointment for four consecutive months or                       • Legal Plan
                                                                                             longer                                                           • Retirement Plan (Basic)
                                                                                             • MHealthy Programs4                                             • MHealthy Rewards3

                                   You have a 25% or greater                                 • Medical Insurance (including GradCare)2                        • Long-Term Disability
                                   appointment and funding for a                             • Dental Plan (Option 1, 2, and 3)                               • Basic Retirement Plan
                                   minimum of four continuous months                         • Legal Plan                                                     • MHealthy Rewards3
                                   for fall and winter term or 25%                           • Long-Term Care (50% appointment)
                                   appointment and two months                                • Flexible Spending Accounts
                                   continuous appointment in the                             • Travel Accident Insurance and Secure
                                   spring/summer term.                                       Travel Plan
                                                                                             • University, Optional, and Dependent Life
                                                                                             Insurance
                                                                                             • Vision Plan
                                                                                             • SRA and 457(b)
                                                                                             • MHealthy Programs4



1
  Employees with dual career/job families are eligible for the Basic Retirement Plan if effort and funding are present in the appropriate combination. For example, if you are a Research Fellow
who is also appointed as a Lecturer, you are eligible for the Basic Retirement Plan if the Lecturer job has at least a 1% appointment, regardless of which position has funding.
2
  Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
3
  For more information on MHealthy Rewards, please visit: www.mhealthy.umich.edu/rewards
4
  For more information on MHealthy Programs, please visit: www.mhealthy.umich.edu




                                                                                                                                                                                                   1
                                          Eligibility for University of Michigan Benefits by Career/Group

Group                              Eligibility Criteria1                                   Eligible                                                        Not Eligible

GSRA                               You have a 25% or greater                               • Medical Insurance (GradCare only)2                            • Long-Term Disability
                                   appointment and funding for a                           • Dental Plan (Option 1, 2, and 3)                              • Basic Retirement Plan
                                   minimum of four continuous months at                    • Legal Plan                                                    • MHealthy Rewards3
                                   all times                                               • Long-Term Care
                                                                                           • Flexible Spending Accounts
                                                                                           • Travel Accident Insurance and Secure
                                                                                           Travel Plan
                                                                                           • University, Optional, and Dependent Life
                                                                                           Insurance
                                                                                           • Vision Plan
                                                                                           • SRA and 457(b) with a 1% or greater
                                                                                           appointment for four consecutive months or
                                                                                           longer
                                                                                           MHealthy Programs4
HOA                                You receive U-M funding and have a                      • Medical Insurance2                                            • Expanded/Basic Long-
                                   0% or greater appointment lasting four                  • Dental Plan (Option 1, 2, or 3)                               Term Disability
                                   continuous months or longer                             • Vision Plan                                                   • Basic Retirement Plan
                                                                                           • Long-Term Disability (provided through the
                                                                                           House Officers Association)
                                                                                           • University, Optional, and Dependent Life
                                                                                           Insurance
                                                                                           • Long-Term Care
                                                                                           • Legal Plan
                                                                                           • Flexible Spending Accounts (stipends are
                                                                                           not eligible)
                                                                                           • Travel Accident Insurance and Secure
                                                                                           Travel Plan
                                                                                           • SRA and 457(b) with a 1% or greater
                                                                                           appointment for four consecutive months or
                                                                                           longer
                                                                                           • MHealthy Rewards3
                                                                                           • MHealthy Programs4
Research Fellows                   For medical insurance, you must have a                  • Medical Insurance2                                            • Long-Term Disability
                                   0% or greater appointment and                           • Dental Plan (Option 1, 2, and 3 after one                     • Retirement Plan (Basic)
                                   funding (stipend, Special Purpose                       year of continuous eligibility)
                                   Funds) or salary for a minimum of four                  • University, Optional, and Dependent Life
                                   continuous months                                       Insurance (0% or greater appointment.
                                                                                           Stipend funds not eligible)
                                   For life insurance and supplemental                     • Legal Plan
                                   retirement plans, must have more than                   • Long-Term Care
                                   a 0% appointment and university                         • Flexible Spending Accounts (0% or greater
                                   funding. Stipend money is not eligible.                 appointment. Stipend funds or temporary
                                                                                           hourly wages are not eligible)
                                   For dental, must have 0% or greater                     • SRA and 457(b); 1% or greater
                                   appointment and one year of service                     appointment. Stipend funds or temporary
                                                                                           hourly wages are not eligible)
                                   Research Fellows must provide proof                     • Travel Accident Insurance and Secure
                                   of comparable coverage to waive                         Travel Plan
                                   medical insurance and prescription                      • Vision Plan
                                   drug plan coverage (SPG 201.19)                         • MHealthy Rewards3
                                                                                           • MHealthy Programs4
1
  To be eligible for the Retirement Plan, all career/job families, except Supplemental, must have at least a 1% appointment for four continuous months or longer. Supplemental must have a
50% or greater appointment and funding for one full term.
2
  Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
3
  For more information on MHealthy Rewards, please visit: www.mhealthy.umich.edu/rewards
4
  For more information on MHealthy Programs, please visit: www.mhealthy.umich.edu




                                                                                                                                                                                             2
                                          Eligibility for University of Michigan Benefits by Career/Group

Group                              Eligibility Criteria1                                   Eligible                                                        Not Eligible

Professional                       You have a 0% or greater appointment                    • Medical Insurance2                                            • Dental Plan
Specialists                        and U-M funding (stipend, Special                       • Long-Term Care                                                • Vision Plan
                                   Purpose Funds) or salary for a                          • Flexible Spending Accounts (50% or greater                    • Long-Term Disability
                                   minimum of four continuous months                       appointment. Stipend funds or temporary                         • University, Optional,
                                                                                           hourly wages are not eligible)                                  and
                                                                                           • SRA and 457(b); 1% or greater                                 Dependent Life Insurance
                                                                                           appointment. Stipend funds or temporary                         • Legal Plan
                                                                                           hourly wages are not eligible)                                  • Retirement Plan (Basic)
                                                                                           • Travel Accident Insurance and Secure
                                                                                           Travel Plan
                                                                                           • MHealthy Rewards3
                                                                                           • MHealthy Programs4
Benefit-Eligible                   Holders of designated fellowship                        • Medical Insurance2 (GradCare only)                            • University, Optional,
Fellowship Holders                 Michigan Science Training Program                       • Dental Plan (Option 1, 2, and 3)                              and Dependent Life
                                   fellows                                                 • Legal Plan                                                    Insurance
                                   Check with your department if you do                    • Vision Plan                                                   • Long-Term Care
                                   not know if you are sponsored for                       • MHealthy Programs4                                            • Flexible Spending
                                   GradCare under this provision                                                                                           Accounts
                                                                                                                                                           • Retirement Plan (Basic
                                                                                                                                                           and SRA)
                                                                                                                                                           • Travel Accident
                                                                                                                                                           Insurance
                                                                                                                                                           • Long-Term Disability
                                                                                                                                                           • MHealthy Rewards3
Medical School                     Medical insurance coverage is                           • Medical Insurance2 (GradCare only)                            • University, Optional,
Students                           mandatory for all University of                         • Dental Plan (Option 1, 2, and 3)                              and Dependent Life
                                   Michigan medical school students.                       • Legal Plan                                                    Insurance
                                   Medical school students are required                    • Vision Plan                                                   • Long-Term Care
                                   to either enroll in GradCare or provide                                                                                 • Flexible Spending
                                   verification that they have comparable                                                                                  Accounts
                                   medical insurance coverage elsewhere                                                                                    • Retirement Plan (Basic
                                                                                                                                                           and SRA)
                                                                                                                                                           • Travel Accident
                                                                                                                                                           Insurance
                                                                                                                                                           • Long-Term Disability
                                                                                                                                                           • MHealthy Rewards3
1
  To be eligible for the Retirement Plan, all career/job families, except Supplemental, must have at least a 1% appointment for four continuous months or longer. Supplemental must have a
50% or greater appointment and funding for one full term.
2
  Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
3
  For more information on MHealthy Rewards, please visit: www.mhealthy.umich.edu/rewards
4
  For more information on MHealthy Programs, please visit: www.mhealthy.umich.edu




                                                                                                                                                                                             3
                                           Eligibility for University of Michigan Benefits for Dependents

Dependents                                     Group                                Eligible                                                Not Eligible

Spouse                                         Faculty                              • Medical Insurance3                                    • Long-Term Disability
A person who:                                  Staff                                • Dental Plan (Option 1, 2, or 3)                       • Group Term Life Insurance
• Is of the opposite sex as you;               Lecturers                            • Vision Plan                                           • Flexible Spending Accounts
• Is legally married to you; and               Supplemental                         • Dependent Life Insurance2                             • Retirement Plan
• Is not already covered through               LEO                                  (Dependent spouse or OQA can work                       • Travel Accident Insurance and
the university as an employee1                 AFSCME                               for the university)                                     Secure Travel Plan
                                               HOA                                  • Long-Term Care                                        • MHealthy Rewards
OR                                             POAM                                 • Legal Plan
                                               MNA                                  • MHealthy Tobacco Independence
Other Qualified Adult (OQA)                    IUOE                                 Program4 (if enrolled in medical
                                               Trades                               insurance)
A U-M employee who does not                    GSI
already enroll a spouse in the                 GSSA
health or other benefit plans                  GSRA
may enroll one adult individual                Research Fellows
for benefit coverage if all of the
following eligibility criteria are             Professional Specialists             • Medical Insurance3                                    • Vision Plan
met:                                                                                • Long-Term Care                                        • Long-Term Disability
                                                                                    • MHealthy Tobacco Independence                         • Group Term Life Insurance
                                                                                    Program4 (if enrolled in medical                        • Dependent Life Insurance
• The employee is eligible for U-
                                                                                    insurance)                                              • Legal Plan
  M benefits; and
                                                                                                                                            • Flexible Spending Accounts
• The Other Qualified Adult, at
                                                                                                                                            • Retirement Plan
  the time of proposed
                                                                                                                                            • Dental Plan (Option 1, 2, or 3)
  enrollment, shares a primary
                                                                                                                                            • Travel Accident Insurance and
  residence with the employee
                                                                                                                                            Secure Travel Plan
  and has done so for the
                                                                                                                                            • MHealthy Rewards
  previous 6 continuous months,
  other than as an employee or
                                               Benefit-Eligible                     • Medical Insurance3 (GradCare only)                    • University, Optional, and
  tenant.
                                               Fellowship Holders                   • Dental Plan (Option 1, 2, and 3)                      Dependent Life Insurance
                                                                                    • Legal Plan                                            • Long-Term Care
                                                                                    • Vision Plan                                           • Flexible Spending Accounts
                                                                                                                                            • Retirement Plan (Basic and SRA)
                                                                                                                                            • Travel Accident Insurance
                                                                                                                                            • Long-Term Disability
                                                                                                                                            • MHealthy Rewards

                                               Medical School Students              • Medical Insurance3 (GradCare only)                    • University, Optional, and
                                                                                    • Dental Plan (Option 1, 2, and 3)                      Dependent Life Insurance
                                                                                    • Legal Plan                                            • Long-Term Care
                                                                                    • Vision Plan                                           • Flexible Spending Accounts
                                                                                                                                            • Retirement Plan (Basic and SRA)
                                                                                                                                            • Travel Accident Insurance
                                                                                                                                            • Long-Term Disability
                                                                                                                                            • MHealthy Rewards



1
  If you and your spouse or OQA are both employees of the university, you cannot be covered as both an employee and as a dependent on U-M Medical, Prescription Drug, Dental, or Vision
Plans.
2
  If you and your spouse or OQA are both employees of the university, you may both carry Dependent Life on each other and on your dependent children.
3
  Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
4
  For more information on the MHealthy Tobacco Independence Program (MTIP), please call 734-998-2193.




                                                                                                                                                                                          4
                                             Eligibility for University of Michigan Benefits for Dependents

Dependents                                        Group                               Eligible                                               Not Eligible

Never Married Children by                         Faculty                             • Medical Insurance1                                   • Long-Term Disability
Birth, Adoption, or Legal                         Staff                               • Dental Plan (Option 1, 2, or 3)                      • Group Term Life Insurance
Guardianship*, Birth to Age 25                    Lecturers                           • Vision Plan                                          • Long-Term Care
Eligible from birth through end                   Supplemental                        • Dependent Life Insurance (eligible                   • Flexible Spending Accounts
of the year your children turn                    LEO                                 from 15 days to age 25)2                               • Retirement Plan
age 19 and are not eligible for                   AFSCME                              • Legal Plan                                           • Travel Accident Insurance and
coverage through the university                   HOA                                                                                        Secure Travel Plan
as an employee or are not                         POAM                                                                                       • MHealthy Rewards
already covered through the                       MNA
university as a dependent on                      IUOE
another university employee’s                     Trades
coverage.                                         GSI
                                                  GSSA
•        From age 20 through the                  GSRA
         end of the month they                    Research Fellows
         reach age 253, your                      Professional Specialists            • Medical Insurance1                                   • Vision Plan
         children who:                                                                                                                       • Long-Term Disability
•        Live primarily with you but                                                                                                         • Group Term Life Insurance
         may be temporarily away                                                                                                             • Dependent Life Insurance
         from home attending                                                                                                                 • Long-Term Care
         school; and                                                                                                                         • Legal Plan
•        You provide over 50% of                                                                                                             • Flexible Spending Accounts
         the dependent’s total                                                                                                               • Retirement Plan
         support; and                                                                                                                        • Dental Plan (Option 1, 2, or 3)
•        Are not eligible for                                                                                                                • Travel Accident Insurance and
         coverage through the                                                                                                                Secure Travel Plan
         university as an employee                                                                                                           • MHealthy Rewards
         or are not already covered
         through the university as a              Benefit-Eligible                    • Medical Insurance1 (GradCare only)                   • University, Optional, and
         dependent on another                     Fellowship Holders                  • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
         university employee’s                                                        • Legal Plan                                           • Long-Term Care
         coverage.                                                                    • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
* For legal guardianship, in                                                                                                                 • Travel Accident Insurance
addition to the above, a                                                                                                                     • Long-Term Disability
dependent ward remains eligible                                                                                                              • MHealthy Rewards
only until the expiration date
stipulated by the court within                    Medical School Students             • Medical Insurance1 (GradCare only)                   • University, Optional, and
the Letters of Guardianship.                                                          • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards
1
    Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
2
    If you and your spouse or OQA are both employees of the university, you may both carry Dependent Life on each other and on your dependent children.
3
    Your eligible children meeting the listed requirements may continue eligibility through the end of the month in which the child reaches age 25.




                                                                                                                                                                                 5
                                             Eligibility for University of Michigan Benefits for Dependents

Dependents                                        Group                               Eligible                                               Not Eligible

Never Married Children of Your                    Faculty                             • Medical Insurance1                                   • Long-Term Disability
Spouse or Other Qualified Adult,                  Staff                               • Dental Plan (Option 1, 2, or 3)                      • Group Term Life Insurance
Birth to Age 253 who:                             Lecturers                           • Vision Plan                                          • Long-Term Care
                                                  Supplemental                        • Dependent Life Insurance (eligible                   • Flexible Spending Accounts
• Live primarily with you but                     LEO                                 from 15 days to age 25)2                               • Retirement Plan
  may be temporarily away                         AFSCME                              • Legal Plan                                           • Travel Accident Insurance and
  from home attending school;                     HOA                                                                                        Secure Travel Plan
  and                                             POAM                                                                                       • MHealthy Rewards
• You and your spouse or OQA                      MNA
  provide over 50% of your                        IUOE
  dependent’s total support;                      Trades
  and                                             GSI
• Are not eligible for coverage                   GSSA
  through the university as an                    GSRA
  employee or are not already                     Research Fellows
  covered through the                             Professional Specialists            • Medical Insurance1                                   • Vision Plan
  university as a dependent on                                                                                                               • Long-Term Disability
  another university employee’s                                                                                                              • Group Term Life Insurance
  coverage.                                                                                                                                  • Dependent Life Insurance
                                                                                                                                             • Long-Term Care
                                                                                                                                             • Legal Plan
                                                                                                                                             • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan
                                                                                                                                             • Dental Plan (Option 1, 2, or 3)
                                                                                                                                             • Travel Accident Insurance and
                                                                                                                                             Secure Travel Plan
                                                                                                                                             • MHealthy Rewards

                                                  Benefit-Eligible                    • Medical Insurance1 (GradCare only)                   • University, Optional, and
                                                  Fellowship Holders                  • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards

                                                  Medical School Students             • Medical Insurance1 (GradCare only)                   • University, Optional, and
                                                                                      • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards
1
    Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
2
    If you and your spouse or OQA are both employees of the university, you may both carry Dependent Life on each other and on your dependent children.
3
    Your eligible children meeting the listed requirements may continue eligibility through the end of the month in which the child reaches age 25.




                                                                                                                                                                                 6
                                             Eligibility for University of Michigan Benefits for Dependents

Dependents                                        Group                               Eligible                                               Not Eligible

Never Married Principally                         Faculty                             • Medical Insurance1                                   • Long-Term Disability
Supported Children, to Age 19 3                   Staff                               • Dental Plan (Option 1, 2, or 3)                      • Group Term Life Insurance
                                                  Lecturers                           • Vision Plan                                          • Long-Term Care
Children through the end of the                   Supplemental                        • Dependent Life Insurance (eligible                   • Flexible Spending Accounts
year in which they reach age 19                   LEO                                 from 15 days to age 25)2                               • Retirement Plan
who:                                              AFSCME                              • Legal Plan                                           • Travel Accident Insurance and
                                                  HOA                                                                                        Secure Travel Plan
• Are not your own children by                    POAM                                                                                       • MHealthy Rewards
  birth or marriage; and                          MNA
• Are related to you by blood or                  IUOE
  marriage; and                                   Trades
• Live with you on a permanent                    GSI
  basis; and                                      GSSA
• Are not eligible for coverage                   GSRA
  through the university as an                    Research Fellows
  employee; and                                   Professional Specialists            • Medical Insurance1                                   • Vision Plan
• Are not already covered                                                                                                                    • Long-Term Disability
  through the university as a                                                                                                                • Group Term Life Insurance
  dependent on another                                                                                                                       • Dependent Life Insurance
  university employee’s                                                                                                                      • Long-Term Care
  coverage; and                                                                                                                              • Legal Plan
• Will be claimed as dependents                                                                                                              • Flexible Spending Accounts
  on your income tax return for                                                                                                              • Retirement Plan
  the current year; and                                                                                                                      • Dental Plan (Option 1, 2, or 3)
• Have been principally                                                                                                                      • Travel Accident Insurance and
  supported by you for at least                                                                                                              Secure Travel Plan
  six consecutive months before                                                                                                              • MHealthy Rewards
  you apply for coverage.
                                                  Benefit-Eligible                    • Medical Insurance1 (GradCare only)                   • University, Optional, and
Coverage will go into effect the                  Fellowship Holders                  • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
first of the month following 90                                                       • Legal Plan                                           • Long-Term Care
days after the application is                                                         • Vision Plan                                          • Flexible Spending Accounts
received in the Benefits Office.                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards

                                                  Medical School Students             • Medical Insurance1 (GradCare only)                   • University, Optional, and
                                                                                      • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards
1
    Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
2
    If you and your spouse or OQA are both employees of the university, you may both carry Dependent Life on each other and on your dependent children.
3
    Your eligible children meeting the listed requirements may continue eligibility through the end of the year in which the child reaches age 19.




                                                                                                                                                                                 7
                                             Eligibility for University of Michigan Benefits for Dependents

Dependents                                        Group                               Eligible                                               Not Eligible

Never Married Disabled                            Faculty                             • Medical Insurance1                                   • Long-Term Disability
Children, Age 19 or Older                         Staff                               • Dental Plan (Option 1, 2, or 3)                      • Group Term Life Insurance
                                                  Lecturers                           • Vision Plan                                          • Long-Term Care
Your children by birth, adoption,                 Supplemental                        • Dependent Life Insurance (eligible                   • Flexible Spending Accounts
or legal guardianship or your                     LEO                                 from 15 days to age 25)2                               • Retirement Plan
spouse or OQA’s children who:                     AFSCME                              • Legal Plan                                           • Travel Accident Insurance and
• Are not classified as principally               HOA                                                                                        Secure Travel Plan
   supported children; and                        POAM                                                                                       • MHealthy Rewards
• Have reached the end of the                     MNA
   calendar year in which they                    IUOE
   turn age 19; and                               Trades
• Are dependent on you for                        GSI
   support and maintenance;                       GSSA
   and                                            GSRA
• Became disabled and were                        Research Fellows
   covered by university medical                  Professional Specialists            • Medical Insurance1                                   • Vision Plan
   insurance plan before                                                                                                                     • Long-Term Disability
   reaching age 19; and                                                                                                                      • Group Term Life Insurance
• Are not eligible for coverage                                                                                                              • Dependent Life Insurance
   through the university as an                                                                                                              • Long-Term Care
   employee or are not already                                                                                                               • Legal Plan
   covered through the Univer-                                                                                                               • Flexible Spending Accounts
   sity as the dependent on                                                                                                                  • Retirement Plan
   another university employee’s                                                                                                             • Dental Plan (Option 1, 2, or 3)
   coverage; and                                                                                                                             • Travel Accident Insurance and
• Are incapable of self-                                                                                                                     Secure Travel Plan
   sustaining employment by                                                                                                                  • MHealthy Rewards
   reason of mental or physical
   disability.                                    Benefit-Eligible                    • Medical Insurance1 (GradCare only)                   • University, Optional, and
                                                  Fellowship Holders                  • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards

                                                  Medical School Students             • Medical Insurance1 (GradCare only)                   • University, Optional, and
                                                                                      • Dental Plan (Option 1, 2, and 3)                     Dependent Life Insurance
                                                                                      • Legal Plan                                           • Long-Term Care
                                                                                      • Vision Plan                                          • Flexible Spending Accounts
                                                                                                                                             • Retirement Plan (Basic and SRA)
                                                                                                                                             • Travel Accident Insurance
                                                                                                                                             • Long-Term Disability
                                                                                                                                             • MHealthy Rewards
1
    Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
2
    If you and your spouse or OQA are both employees of the university, you may both carry Dependent Life on each other and on your dependent children.




                                                                                                                                                                                 8
                                             Eligibility for University of Michigan Benefits for Dependents

Dependents                                        Group                                Eligible                                  Not Eligible

Survivors of Deceased Active                      Faculty                              • Medical Insurance1 (eligible if you     • Dental Plan
Eligible Faculty and Staff                        Staff                                  meet criteria; contact the HR/Payroll   • Vision Plan
Members                                           Lecturers                              Service Center for information)         • Long-term Disability
                                                  Supplemental                         • Individual Long-Term Care (eligible     • Group Term Life Insurance
                                                  LEO                                    if you are currently enrolled or were   • Dependent Life Insurance
                                                  AFSCME                                 previously enrolled. Call the plan to   • Legal Plan
                                                  HOA                                    continue coverage.)                     • Flexible Spending Accounts
                                                  POAM                                 • MHealthy Tobacco Independence           • Retirement Plan
                                                  MNA                                    Program2 (if enrolled in medical        • Travel Accident Insurance and
                                                  IUOE                                   insurance)                              Secure Travel Plan
                                                  Trades                                                                         • MHealthy Rewards
                                                  GSI
                                                  GSSA
                                                  GSRA
                                                  Research Fellows
Survivors of Deceased Retired                     Faculty                              • Medical Insurance1 (eligible if you     • Vision Plan
Faculty and Staff Members                         Staff                                  meet criteria; contact the HR/Payroll   • Long-Term Disability
                                                  Lecturers                              Service Center for information)         • Group Term Life Insurance
                                                  LEO                                  • Dental Plan (eligible if you meet       • Dependent Life Insurance
                                                  POAM                                   criteria; contact the HR/Payroll        • Legal Plan
                                                  MNA                                    Service Center for information)         • Flexible Spending Accounts
                                                  AFSCME                               • Long-Term Care (eligible if you are     • Retirement Plan
                                                  IUOE                                   currently enrolled or were              • Travel Accident Insurance and
                                                  Trades                                 previously enrolled. Call the plan to   Secure Travel Plan
                                                                                         continue coverage)                      • MHealthy Rewards




1
    Enrollment in any U-M medical plan automatically includes enrollment in the U-M Prescription Drug Plan.
2
    For more information on the MHealthy Tobacco Independence Program (MTIP), please call 734-998-2193.




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