If you plan to enroll a spouse in your health coverage you must complete an Employer Information Form and Attestation Form within 60 days.
For Employees Hired PRIOR to July 1, 2013
Spouses added to coverage after July 1, 2001 who are eligible for fully-paid employer coverage (e.g., no employee contribution for coverage) through his/her employer must be enrolled in their employer’s coverage and State System health coverage will provide benefits as secondary payer only.
- Hired Prior July 1, 2013 Attestation Form
For Employee Hired ON OR AFTER July 1, 2013
If an employee enrolls a spouse in the State System health plan and that person is eligible for coverage under their own employer’s plan, the spouse shall be required to enroll in their own employer’s plan for their primary coverage as a condition for eligibility for secondary coverage under the State System health plan regardless of the cost to the spouse for that coverage.
- Hired On/After July 1, 2013 Attestation Form
- Spouse Employer Form
Same Sex Domestic Partner Benefits
APSCUF Faculty and Coaches are the only employee groups eligible to enroll same-sex domestic partners. You must have a Same-Sex Domestic Partner Certification form on file with your university human resources office prior to January 1, 2017, in order to be eligible to enroll that same-sex domestic partner to your health plan. Nonrepresented employees are only eligible for same-sex domestic partner benefits if the same-sex domestic partner was enrolled in the plan prior to January 1, 2016.
- Termination of Same Sex Domestic Partnership