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Health Care Coverage for Dependents

The following categories of individuals may be eligible for coverage under the PASSHE health plan for active employees:

  • Legal spouse
  • Same-sex domestic partner (applicable to faculty, non-faculty coaches, and non-represented employees)
  • Children under twenty-six years of age who meet one of the following requirements:
    • A natural child of your own
    • A legally adopted child (including a child living with the employee during the probation period)
    • A stepchild
    • A child for whom the employee is the legal guardian
    • A foster child, if the employee was the child’s legal guardian, or foster parent prior to the child’s eighteenth birthday (foster children under age eighteen are not eligible dependents)
    • A child being supported by the employee under a court order as a result of a divorce decree
    • A newborn child of an employee is automatically covered from the moment of birth to thirty-one days after the date of birth. To be covered as a dependent beyond the thirty-one-day period, the employee has sixty days to add the child as a dependent through the Human Resources Office.
    • Unmarried dependent child twenty-six years of age or older, who is incapable of self-support because of a physical or mental disability that commenced before the age of twenty-six
    • A child of a domestic partner (applicable to faculty, non-faculty coaches, and non-represented employees)

Required Documentation to Add Dependents to Health Care Coverage

You must provide documentation that verifies your dependent's eligibility for PASSHE coverage.  Social Security numbers are required for employees and dependents. Except for newborns, dependents without Social Security numbers will not be enrolled in a PASSHE health care plan. If a dependent is not eligible for a Social Security number, you must provide a letter of explanation from the Social Security Administration. 

Adding or Removing Dependents to Your Health Care Coverage

Outside of the employee's initial enrollment period (30 days after date of hire or date of eligibility, whichever is later) and the annual PASSHE Health Care Program Open Enrollment, if you experience a qualifying life event, you have the opportunity to add or remove dependents from your coverage. If you need to add or remove dependents from your coverage, you must complete and return a PASSHE Health Insurance Enrollment/Change form to the Office of Human Resources within 60 days of the date of the even occurred. Below are common examples of qualifying life events:

  • Gaining a dependent child through birth or adoption.
  • Gaining a dependent spouse/same-sex domestic partner through marriage or entering into a qualifying domestic partnership.
  • Spouse/same-sex domestic partner or child loses eligibility for health care coverage under his/her employer's plan.
  • Spouse/same-sex domestic partner or child loses eligibility for coverage in a Medicare plan, a Medicaid plan, or a state children's health insurance program.
  • Loss of a dependent due divorce or termination of a domestic partnership.
  • Loss of a dependent due to death.

Note: Dependent children will automatically be removed from the employee's coverage effective the first day of the month following the month of their 26th birthday.

Enrolling in or Canceling Your Health Care Coverage

Outside of the employee's initial enrollment period (30 days after date of hire or date of eligibility, whichever is later) and the annual PASSHE Health Care Program Open Enrollment, if you experience a qualifying life event you have the opportunity to enroll in coverage or cancel your coverage. If you need to enroll in or cancel coverage, you must complete and return a PASSHE Health Insurance Enrollment/Change form to the Office of Human Resources within 60 days of the date of the even occurred. Below are common examples of qualifying life events for enrolling in or canceling your coverage:

  • You lose coverage under your spouse's plan.
  • You move, either to an area outside of your current plan's service area, or to an area where a different plan option is available.
  • You are enrolled in a plan option that is no longer available, or is substantially reduced.
  • Human Resources Office
  • Sutton Hall, Room G8
    1011 South Drive
    Indiana, PA 15705
  • Phone: 724-357-2431
  • Fax: 724-357-2685
  • Office Hours
  • Monday through Friday
  • 8:00 a.m.–4:00 p.m.