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Can I add my stepchildren or foster children to my health plan?
Yes. Effective with health care reform, an eligible dependent includes a biological child, stepchild, adopted child, or foster who is under age 26. Validation information is required to add a dependent.
I have parents
living with me and I am responsible for their care. Can I add them
to my medical plan?
No, only spouse and eligible dependents may be added to your medical
plan.
My grandchildren
live with me. Can I add them to my health plan?
No, only legally adoptive children and children whom you are the legal
guardian can be covered under the medical plan.
My girlfriend/boyfriend and I live
together. Can I cover his/her children on my health plan?
No, only a legal spouse (common law spouse with a certificate of informal
marriage) is allowed to participate. Only biological children of the
employee and stepchildren living in your home are allowed to participate
in the medical plan.
I am a newly
hired employee. What is the default benefit and when must I elect
my insurance?
The default insurance is the Value PPO at the employee only level of
coverage. All elections must be made within 31 days of hire.
Can I cover my children from a previous
marriage if they live with their mother?
Yes, biological children of City employees are eligible to be covered.
I am a civilian employee, and my spouse is a San Antonio Police
Officer. Can I enroll on his/her uniformed medical plan?
Yes. You will need to sign a civilian Waiver of Coverage form from Employee Benefits
before enrolling as a dependent on another City plan. Submit the signed civilian Waiver of Coverage form to your Human Resources Specialist.
I'm recently divorced. Can I keep
my former spouse on my health plan?
No. You have 31 days to notify Human Resources Customer Service at
(210) 207-8705 of the status change so that we can offer your former
spouse the option to continue medical coverage through COBRA.
What if I forget
to remove my former spouse from my health plan within the 31 days
allowed?
Once the City becomes aware of the qualifying event, coverage for the
ex-spouse will retro-terminate to the divorce date and any medical
claims paid for services will be refunded to the City. Any claims paid
for dates of service after divorce date will be the employee's and/or
ex-spouse's responsibility.
What if my divorce decree says I have
to provide medical coverage for my ex-spouse?
Medical coverage will be available through COBRA.
If in three months I don't use the
health insurance, can I stop paying for it?
No. The only way to make mid-year changes to your benefits elections
is if a qualifying event has taken place. The most common qualifying
events are birth, marriage, divorce, death, and a spouse's gain (or
loss) of employment.
What dental plans
does the City offer non-uniformed employees?
The City currently offers two dental plans: SafeGuard Dental HMO administered by MetLife and CitiDent PPO administered by MetLife.
Does my entire
family need to be enrolled in the dental plan?
No. You can select a coverage level based on your personal needs.
Do I need to complete an enrollment
form?
The CitiDent PPO plan does not require a separate enrollment form. If you select the
SafeGuard/MetLife DHMO plan, a SafeGuard/MetLife DHMO Enrollment form must be completed.
Who are the
network providers?
The CitiDent PPO plan does not require use of a network. SafeGuard/MetLife DHMO directories are available
at https://www.safeguard.net/SanAntonio/.
Do I need an identification
(ID) card?
Upon enrollment in either plan, identification cards will be issued
to you. If you do not have an ID card, you may give the provider your
social security number and the proper phone number for verification
of benefits. SafeGuard/MetLife
DHMO and CitiDent PPO eligibility
can be reached at1-800-880-1800.
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