Human Resources
Eligibility Rules

Eligibility Rules: Coverage Start Date for New Hires and
Off-Cycle Enrollments

When does medical and/or dental coverage begin for a new Faculty or Managerial and Professional hire?

If the staff’s date of employment is the first day of the month, his/her coverage will begin on the first day of the month of their employment; otherwise his/her coverage will begin on the first day of the month following the date of their employment.

Example 1: Hire date is 6/1/2006; effective start date of coverage will be 6/1/2006.
Example 2: Hire date is 6/12/2006; effective start date of coverage will be 7/1/2006.

The same rules apply for a change in status. Example: Part-time to full-time

When does medical and/or dental coverage begin for a new Clerical & Technical or Service & Maintenance hire?

Medical:
If the staff’s date of employment is the first of the month, his/her coverage will begin on the first day of the month of their employment; otherwise his/her coverage will begin on the first day of the month following the date of their employment.

Example 1: Hire date is 6/1/2006; effective start date of coverage will be 6/1/2006.
Example 2: Hire date is 6/12/2006; effective start date of coverage will be 7/1/2006.

Dental:
Staff is automatically enrolled in the Dental assistance plan on the first day of month following their date of employment. Coverage is for the employee only. Dependents are covered once the employee completes an enrollment form; their coverage begins on the first day of the month following the staff’s coverage start date.

Staff also has the option of enrolling in an alternative dental plan, if not chosen, coverage in the dental assistance plan is automatically provided for the staff only.

When does medical/dental coverage begin when a qualifying event (marriage, birth of newborn, divorce, loss of coverage) occurs?

The effective date of coverage for an off-cycle enrollment in all instances (except for birth of a child, in which case the effective date of coverage will be the newborn’s birthdate) is the first day of the month following the “event”, unless the event occurs on the first day of a given month then coverage would be effective the day of the event.

Reminder: You may not switch medical or dental plans due to a qualifying event.

What effective date will be used if the employee’s date of employment is the 1st of the month and the 1st of the month falls on a week-end?

For all employee classifications, the effective date of coverage will be retroactive to the first day of the month in which the employment began.

Example 1: Hire date is 7/1/2006 (falls on a Saturday); first day of work is 7/3/2006, effective start date of coverage will be 7/1/2006.

Reminder: Faculty and Staff must complete the necessary enrollment forms within 30 days from their date of eligibility. Failure to sign up for medical or dental benefits when newly eligible or in the event of a qualifying event will result in no benefits until the next calendar year.

As with all information, please refer to the Benefits Website at www.yale.edu/benefits for detailed information.