Who is Eligible for Benefits?

Employees:  Group health insurance is available to all permanent, full-time employees and to persons elected or appointed to elected office, unless otherwise mandated by the Patient Protection and Affordable Care Act (PPACA),

Dependents:  Your qualified dependents are eligible for coverage if you elect to enroll in the plans.  Generally, your eligible dependents include:

*NOTE:  Children determined to be disabled prior age 19 may also qualify for coverage beyond the limits listed above (see qualifying child section below).

According to IRS rules, you must notify Clermont County of any change in your dependent’s eligibility status within 30 days of the change.  Failure to report the change within the 30 day period can result in the loss of your dependent’s coverage and COBRA Rights.
Additionally, an employee could be subject to imputed income if the dependent child does not meet the Qualifying Child definitions listed below:

A Qualifying Child is one who:

*Dependents deemed totally and permanently disabled may qualify beyond  ages listed.  Check with the Benefits Office.

Documentation:   If you add a new dependent (someone not currently covered), you must provide documentation showing he or she is an eligible dependent. Examples of required documentation:

Dependent Child Coverage ends the last day of the month**:

*Full-time student documentation must include:  Name of accredited school; list the semester/quarter; and provide enough information to show that the child is enrolled as a full-time student (12 or more credit hours).

**IMPORTANT: It is the employee’s responsibility to notify Clermont County when their covered dependent is no longer eligible for coverage (within 30 days of the event).