Eligibility and Enrollment

If you are a full-time employee of Hamilton who is regularly scheduled to be a full-time employee working at least 30 hours or more per week, you are eligible to participate in medical, dental, vision, life and disability plans, and additional benefits.

Your elections are effective on the date of hire. Benefits cannot be changed until the next enrollment period unless you experience a Qualifying Life Event.

• Your legal spouse.
• Children under the age of 26 (includes birth children, stepchildren, legally adopted children, children placed for adoption, foster children, and/or a child for whom the court has issued a Qualified Medical Child Support Order (QMCSO) requiring you or your spouse to provide coverage).
• Dependent children age 26 and older, unmarried, and primarily supported by you and incapable of self-sustaining employment by reason of mental or physical disability which arose while the child was covered as a dependent under this plan (periodic certification may be required).
• Eligible dependent children — under the age of 26 — Children under the age of 26 (includes birth children, stepchildren, legally adopted children, children placed for adoption, foster children, and/or a child for whom the court has issued a Qualified Medical Child Support Order (QMCSO) requiring you or your spouse to provide coverage).
• Disabled dependent children — age 26 and older — Dependent children age 26 and older, unmarried, and primarily supported by you and incapable of self-sustaining employment by reason of mental or physical disability which arose while the child was covered as a dependent under this plan (periodic certification may be required).

• Birth, adoption, or a child aging out and is no longer an eligible dependent
• A change in your legal marital status (marriage, divorce, or legal separation)
• A change in a spouse’s employment status (resulting in a loss or gain of coverage)
• Entitlement to Medicare or Medicaid
• Eligibility for coverage through the Marketplace (Healthcare.gov)
• Turning 26 and losing coverage through a parent’s plan
• A change in employment status from full time to part time, or part time to full time, resulting in a gain or loss of eligibility
• Death in the family (leading to change in dependents or loss of coverage)
• Changes that make you no longer eligible for Medicaid or the Children’s Health Insurance Program (CHIP)

• Update your personal information.
• Double-check covered medications.
• Consider your Flexible Spending Account (FSA).
• Check your networks.