Open Enrollment – Eligibility - Human Resources at Ohio State
November 1-14, 2019
Ohio State uses certain criteria to define benefits eligibility and employee contribution rates for benefit coverage. The 2020 Benefits Eligibility Chart can help to determine your eligibility for certain benefits.
Employee Self Service will only reflect the benefits for which you are eligible.
You are encouraged to review Dependent Eligibility Requirements for each of the dependents on your medical, dental and/or vision plan, as well as any dependents you intend to add during Open Enrollment. If any currently covered dependents will no longer meet eligibility requirements as of January 1, 2020, you must remove them from coverage during Open Enrollment.
Ohio State requires employees to verify eligibility for any dependent newly added to medical, dental and vision plans. Ohio State has contracted with Alight Dependent Verification Center to conduct dependent eligibility verification. A Dependent Eligibility Verification Packet will be mailed to your home address from Alight following enrollment of a new dependent within any of the health plans. When your packet arrives in the mail, follow the steps to submit the required documentation by the deadline stated in the packet. Failure to provide proof of eligibility for each applicable dependent will result in termination of their coverage.
Also, to ensure the accuracy of Affordable Care Act (ACA) reporting to the IRS, please verify that the name, date of birth and social security number on file for each covered dependent identically matches IRS records. If you need to correct any dependent information, please contact Customer Service at (614) 292-1050 or (800) 678-6010.
Annual Response Required for Coordination of Benefits
If you cover a spouse or dependent child on your medical plan, you will receive an annual request for information about any other medical coverage they may have. Your response is required, even if your dependent does not have other coverage. In instances where an individual is covered by more than one plan, you will be asked for additional information in order to determine which plan is primary to ensure accurate claim payments. Trustmark Health Benefits (formerly CoreSource) will send this Request for Additional Coverage Information in mid-January. Failure to provide the information by the requested due date will result in delays in claim payments.