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Eligibility and Enrollment
Uprise Health’s benefits are designed to support your unique needs.
Eligibility and Enrollment
Who Is Eligible
If you are a full-time employee of Uprise Health who is regularly scheduled to work at least 30 hours per week, you are eligible to participate in medical, dental, vision, life and disability plans, and additional benefits.
When Coverage Begins
Your elections are effective the first of the month following 30 days of employment.
Eligible Dependents
- Your legal spouse (or common-law spouse where recognized).
- Children up to age 26 (includes birth children, stepchildren, legally adopted children, children placed for adoption, foster children, and children for whom you or your spouse have legal guardianship).
- Dependent children 26 or more years old, unmarried, and primarily supported by you and incapable of self-sustaining employment by reason of mental or physical disability which arose while the child was covered as a dependent under this plan (periodic certification may be required).
Qualifying Life Events
- A change in the number of dependents (through birth or adoption or if a child is no longer an eligible dependent)
- A change in a spouse’s employment status (resulting in a loss or gain of coverage)
- A change in your legal marital status (marriage, divorce, or legal separation)
- A change in employment status from full time to part time, or part time to full time, resulting in a gain or loss of eligibility
- Eligibility for coverage through the Marketplace
- Changes in address or location that may affect coverage
- Entitlement to Medicare or Medicaid
- Turning 26 and losing coverage through a parent’s plan
- Death in the family (leading to change in dependents or loss of coverage)
- Changes that make you no longer eligible for Medicaid or the Children’s Health Insurance Program (CHIP)
Enrollment
- Update your personal information. Ensure you have the most up to date personal details in the ADP system. Beneficiary information is also important for your life coverage.
- Double-check covered medications. Consider how your current prescriptions will be affected under the plan offerings.
- Review available plans’ deductibles. Foresee a lot of medical needs this year? You might want a lower deductible. If not, you could switch to a higher deductible plan and enjoy lower premiums.
- Consider your HSA or FSA. An HSA or FSA can help cover healthcare costs, including dental and vision services and prescriptions. Adding one of these accounts to your benefits can help with your long-term financial goals.
- Check your networks. Going in-network often saves you money. Check for any plan changes to make sure your go-to providers and pharmacy are still your best bet.