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Health Insurance Plan

Information for: Part-Time Employees

FIT offers the Aetna Open Access Elect Choice EPO Plan, an Exclusive Provider Organization (EPO), which provides flexibility in accessing benefits and offers a broad network of participating providers. 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. 

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 requirements from a Primary Care Physician to seek care from an In-Network (participating) Specialist
  • No copay for most preventive care services such as routine Adult Physical Exams/Immunizations, Routine Gynecological Exams, and Routine Mammograms

To find an In-Network provider, go to Aetna's DocFind site and enter your search criteria. When prompted to select a plan go to the "Aetna Open Access Plans" section and select "Elect Choice EPO (Open Access)".

For additional information regarding coverage under the Aetna Open Access Elect Choice EPO Plan, please review the Plan Design and Benefits Chart (.pdf), Summary of Benefits and Coverage (.pdf) and the EPO Plan Booklet (.pdf).

Please note: Two additional health insurance 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.

Enrollment Information
You may enroll in the Aetna Open Access Elect Choice EPO Plan within 31 days of your FIT date of hire. You may cover a spouse, a same or opposite-gender domestic partner*, and your children under the age of 26. Along with the health care plan enrollment form (.pdf), 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.

If you do not enroll within 31 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 which will become effective the following January 1st.

If you wish to enroll or add or drop a dependent from 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.


* Imputed income taxation (.pdf) applies to domestic partner coverage.

 

Aetna Open Access Elect Choice EPO Costs and Payment Information

The 2017 Aetna Open Access Elect Choice EPO monthly premiums are:

Individual Coverage: $1,567.57

Family Coverage: $4,433.55

Premium Payment and Reimbursement Information

Part-Time Classroom Faculty
EBPA, FIT’s benefits billing administrator, handles monthly premium 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.  

Please refer to the Classroom Faculty Health Premium Payment and Reimbursement chart (.pdf) for more information including reimbursement of premiums.


Part-Time Staff, Part-Time Non-Classroom Faculty, and Part-Time Classroom Assistants
Your applicable employee contribution will be taken from each semi-monthly paycheck.

Please refer to the Staff, Classroom Assistant, and Non-Classroom Faculty Premium Payment and Reimbursement chart (.pdf) for more information.

 

 

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