Health Coverage : Part-Time Employees
Information for: Part-Time Employees
FIT offers part-time employees the Aetna Open Access Elect Choice® EPO Plan described below. This plan has In-Network benefits only. There is no coverage for services provided by a non-participating provider except
in the case of emergency care. New hires have 60 days from their date of hire to enroll.
The UCE of FIT Welfare Trust Fund offers additional health care plan coverage and other benefits. Details are provided in the UCE of FIT Welfare Trust Fund benefits booklet for part-time employees. For more information call the UCE of FIT Welfare Trust Fund office, (212) 217-3377, or visit them at 227 West 27th Street, Room B902 (Business and Liberal Arts Building).
Premiums, Payment, and Reimbursement Information
Aetna Open Access Elect Choice® EPO 2021 monthly premiums are:
Individual Coverage: $3,934.52
Family Coverage: $11,127.99
Plan features include:
- Coverage nationally so you can receive care from a participating provider anywhere in the U.S
- No requirement to designate a Primary Care Physician
- No referral required for care from an In-Network Specialist
- Most provider services are covered with a copayment of $10
- No copay is required when you receive preventive services such as routine adult physical exams/immunizations, routine gynecological exams, and routine mammograms (subject to frequency limitations)
- Laboratory and/or X-Ray services require a $10 copayment
You can find an In-Network provider through Aetna's online provider directory. Enter your search criteria and when prompted chose "Elect Choice® EPO (Open Access)” from the "Aetna Open Access Plans" section. For additional information about the plan, please review the Plan Design and Benefits Chart (.pdf), Summary of Benefits and Coverage (.pdf) and the EPO Plan Booklet (.pdf).
You may cover a spouse, a same or opposite-gender domestic partner*, and qualified children under the age of 26. Along with the health care plan enrollment form, supporting documentation is required when enrolling a dependent such as your marriage certificate, your child's birth certificate or a certificate of registered domestic partnership or alternative documentation (.pdf) if domestic partnership registration is not available where you reside.
Once you are enrolled you may register and create an account on Aetna's website to view eligibility, claims history, and discounts available to Aetna members. A mobile app is also available. You may contact Aetna's members' services area by calling (800) 962-6842.
Please note: Two additional health care plan options are available through the UCE of FIT Welfare Trust Fund. For more detailed information, please view the UCE of FIT Welfare Trust Fund Benefit Booklet (Part-Time Members’ Benefits) (.pdf). You may also contact Anne Golden at the UCE of FIT Welfare Trust Fund at (212) 217-3377.
Important Enrollment Information
As a new hire, if you do not enroll in the Health Care Plan within 60 days of your date of hire, you will have an opportunity to enroll during the next Annual Benefits Open Enrollment Period which is held in November of each year for coverage that will become effective the following January 1.
If you wish to enroll or add/remove a dependent from your coverage outside the Annual
Benefits Open Enrollment Period due to a qualified life event as defined by the IRS
(e.g. marriage, birth, divorce, loss of other coverage), you must notify a benefits representative in the Office of Human Resources within 31 days of the event. If notification does
not occur within 31 days of the event, you must wait until the next Annual Benefits
Open Enrollment Period to make the change that will become effective the following
January 1. Be advised that you may not cover a divorced spouse or domestic partner
after the partnership is dissolved. Even if you miss the 31 day notification deadline
you must notify a benefits representative immediately to report the change in family status.
* Imputed income taxation (.pdf) applies to domestic partner coverage.
Part-Time Classroom Faculty
EBPA, FIT’s benefits billing administrator, handles monthly premium billing and collection for part-time faculty enrolled in the Aetna Open Access Elect Choice® EPO Plan.
Premium payments are due on the first of each month. Your payments must be received by EBPA by the date they are due for coverage to remain intact. EBPA offers a convenient payment feature which allows for monthly premiums to be automatically deducted from a checking or savings account on the first of each month, ensuring the payments are made in a timely manner.
Reimbursement of premiums may be available after meeting eligibility requirements. Please refer to the Classroom Faculty Health Premium Payment and Reimbursement chart (.pdf) for more information.
Part-Time Staff, Part-Time Non-Classroom Faculty, and Part-Time Classroom Assistants
Required employee contribution will be taken from each semi-monthly paycheck. Reimbursement of premiums may be available after meeting eligibility requirements. Please refer to the Staff, Classroom Assistant, and Non-Classroom Faculty Premium Payment and Reimbursement chart (.pdf) for more information.