Benefit Eligibility

What Benefits Am I Eligible For?

  • Full-time and Part-time Staff*
  • Full-time Faculty, Librarians, Research Associates
  • Full-time Post Doctoral Associates (hired before 7/1/05)
  • Part-Time Faculty (who are in the tenure stream or tenured for no less than half-time; Librarians, certain level)
Medical - Choice of five UPMC Plans
Dental - Choice of three United Concordia Plans
Vision - Choice of two Davis Vision Plans
Flexible Spending - Choice of four accounts
Life Insurance - Basic and Optional Coverage
Retirement - Choice of two plans with University match, and the option to make supplemental pre-tax and Roth 403(b) after-tax contributions without a University matching contribution, within the limits permitted by tax regulations.

 

*NOTE: Staff under Collective Bargaining Agreements are governed according to the terms of the Agreements.

Full-time Post Doctoral Associates (hired 7/1/05 or later)

Medical - Choice of five UPMC Plans
Dental - Choice of three United Concordia Plans
Vision - Choice of two Davis Vision Plans
Flexible Spending - Choice of four accounts
Life Insurance - Basic and Optional Coverage
Retirement - Choice to elect personal pre-tax and Roth 403(b) after-tax contributions without a University matching contribution, within the limits permitted by tax regulations.

Part-time Non-Tenure Stream Faculty, Librarians, Research Associates
Part-time Post-Doctoral Associates (regardless of hire date)

Medical - Choice of five UPMC Plans
Dental - Choice of three United Concordia Plans
Vision - Choice of two Davis Vision Plans
Retirement - Choice to elect personal pre-tax and Roth 403(b) after-tax contributions without a University matching contribution, within the limits permitted by tax regulations. 

Post-Doctoral Scholars

Medical - Choice of five UPMC Plans
Dental - Choice of three United Concordia Plans
Vision - Choice of two Davis Vision Plans
Life Insurance - Basic and Optional Coverage

Temporary Faculty, Staff, and ALL•TEMPS

Retirement - Choice to elect personal pre-tax and Roth 403(b) after-tax contributions without a University matching contribution, within the limits permitted by tax regulations.

Undergraduate and Graduate Students,  Graduate Students and Others with Eligible Academic Appointments, and Professional School Students

Please click here to be linked to the “Grad Students and Others” page. Information for the Eligible Student Population (those without Academic Appointments) can also be found on that page.

Eligibility for those individuals not actively working at the University:

For those considering retiring from the University or for current retirees of the University, please visit the Retiree Web site for information on the available benefits.

For those individuals who have lost coverage because of a termination of employment, loss of dependent status, etc., that are interested in continuing coverage through COBRA, please click here for benefits information.

University Community Members, Visitors, Family and Friends with No Eligibility for enrollment in a medical insurance group plan through the University. For sources of information about options directly with an insurance carrier or agency, click here.

Coverage for Dependents

 

Spouse

A faculty or staff member’s spouse, under a legally valid existing marriage between two persons of the opposite sex, is eligible to be covered on the insurance policy.

In the event of a divorce, the ex-spouse must be removed from your policy within 60 days of the divorce being finalized as stated by the date on the official divorce decree. A copy of the divorce decree must be submitted with the appropriate status change paperwork to remove the ex-spouse from your policy. Once the paperwork has been received and processed, COBRA notification will be sent to offer a continuation of coverage for the ex-spouse.

Domestic Partner

To enroll a domestic partner, an approved Affidavit of Domestic Partnership with supporting documentation of a consecutive 12-month relationship is required. Approved affidavits allow enrollment in medical, dental, vision, dependent life insurance, and long-term care coverage. Education benefits are also provided with an approved affidavit.  Learn more >>

In the event of a dissolution of the domestic partnership, the ex-domestic partner must be removed from your policy within 60 days of the event being finalized as stated by the date on the statement of termination of domestic partnership. A copy of the statement must be submitted with the appropriate status change paperwork to remove the ex-domestic partner from your policy. Once the paperwork has been received and processed, COBRA notification will be sent to offer a continuation of coverage for the ex-domestic partner.

Please note, another Affidavit of Domestic Partnership cannot be filed until one (1) year after a Statement of Termination of Domestic Partner Status of the most recent domestic partnership has been filed with the Office of Human Resources.

Children

General Overview

Unmarried biological children, stepchildren and adopted children who are solely dependent upon you for support are eligible to be covered on your insurance policy up until the age of 26.

Newborns

Newborn children are automatically covered under your policy from the moment of birth to a maximum of 31 days from the date of birth. You will need to complete status change paperwork with the Office of Human Resources within those 31 days to add the newborn to your policy so that they may continue coverage beyond that time period. If paperwork is not completed within those 31 days, UPMC Health Plan will terminate the child’s coverage.

Child legally placed for adoption or Legal Guardianship

A child legally placed for adoption or a child of whom you have legal guardianship and the duty to support is eligible for coverage on your insurance policy with an order of the court.

Dependent Children up to the age of 26

Dependent Children can remain on your health insurance policies up to the age of 26. Please visit the Coverage for Eligible Dependent Children page for more information.

Disabled Dependents

Eligibility will be continued past the age of 19 for unmarried dependent children who, as medically certified by a physician, are incapable of self-support due to mental retardation, physical disability, mental illness or a developmental disability that started before age 19. UPMC Health Plan will require medical documentation.

Documentation Requirements for Dependents

If you are making an election to cover for the FIRST time a spouse, domestic partner, or child(ren) with medical, vision, and/or dental coverage, documentation of the relationship is required.

For a spouse, present a marriage certificate with the enrollment form to the Human Resources Benefits Department; otherwise, your election will not be put into effect.  For dependent child(ren), a birth certificate(s) must be presented; otherwise your election will not be put into effect.  Paperwork for adopted or stepchildren is also applicable.

For a domestic partner, contact the Human Resources Benefits Department to schedule an appointment for review of a completed Affidavit of Domestic Partnership, along with an enrollment form.  For dependent child(ren), a birth certificate(s) must be presented; otherwise, your election will not be put into effect.  Paperwork for adopted children is also applicable.
If you are making an election to delete a spouse or domestic partner due to the end of a relationship, a copy of a divorce decree or dissolution form is required.