Open Enrollment – Eligibility - Human Resources at Ohio State
November 1-15, 2020
Ohio State uses certain criteria to define benefits eligibility and employee contribution rates for benefit coverage. The interactive Benefits Eligibility Tool is a resource that you may use to determine your eligibility for certain benefits. Select your criteria, such as FTE and job classification, to get general information about your eligibility for specific benefits. Definitions to help determine classification, appointment type and full-time equivalency are included.
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 currently 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, 2021, you must remove them during Open Enrollment.
Ohio State requires employees to verify eligibility for any dependent on the medical, dental and vision plan that has not yet been verified. We have contracted with Alight Dependent Verification Center to conduct our dependent eligibility verification and a Dependent Eligibility Verification Packet will be mailed to your home address from them during January for any dependent on at least one of these plans whose eligibility must still be verified. 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 HR Connection at 614-247-myHR (6947) 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 is the primary plan to ensure accurate claim payments. Trustmark Health Benefits will send this Request for Additional Coverage Information in February. Failure to provide the information by the requested due date will result in delays in claim payments.