Advocate Health Care
Benefits
Eligibility

 
Resources Forms

Associate Contributions Dental HMO Dental HMO Copayment Schedule MetLife PDP MetLife PDP with Orthodontia MetLife Dental ID Card MetLife PDP Dental Nomination Card
Disability Certification Disability Council Eligibility Requirements Limited Hours Program Long Term Disability Plan Short Term Disability Plan Social Security Disability Benefits   Vocational Rehabilitation Services   
Affidavit of Domestic Partnership Dependent Coverage    Eligibility    Enrollment Process    Estimated Imputed Income Paying for Benefits   
Account Rules    Eligible Dependent Day Care Expenses    Eligible Health Care Expenses    Reimbursement Process    Tax Advantages   
ActiveHealth® HealthMedia® Healthe You Goes RED Healthe You Awards Healthe TRENDS Know Your Numbers    Questions & Answers    Start! Walking
Coming Soon! Healthe Actions Healthe Breathing Healthe Care Healthe Champion Healthe Eating Healthe Path Healthe Vending
Covered Services FAQs
FAQs  
Optional AD&D Insurance    Optional Life Insurance   
Associate Contributions Deductible Reimbursement Account (DRA) Health Maintenance Organization (HMO) Health Reinbursement Account (HRA) Health Savings Account (HSA) Healthe Futures Account (HFA) High Deductible Health Plan (HDHP) Medicare Part D   Non-Duplication of Benefits   Physician Search PPO/Deductible Reimbursement Plan (PPO/DRP) PPO/DRP and HDHP Covered Services Woman's Health and Cancer Rights Act of 1998  
PTO Sharing/Donation  
Investment Options Vesting Loans and Withdrawals Other Information
Condell Health Network Retirement Plan- Form 5500 Portable Pension Plan    Benefits Update
Primary Benefits   Secondary Discounts Rates  

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Your eligibility for different benefits is based on your pay status. Your pay status is:

Full-Time — If you are scheduled to work 80 hours per pay period
Part-Time A — If you are scheduled to work 64 to 79 hours per pay period
Part-Time B — If you are scheduled to work 40 to 63 hours per pay period
Part-Time C — If you are scheduled to work 39 hours or less per pay period

To see a fact sheet that highlights what benefits you are eligible for based on your associate pay status, click on the link below.
2009 Benefits Eligibility 2010 Benefits Eligibility

Dependent Eligibility
You can also purchase medical, dental and vision coverage - and Optional Life Insurance coverage - for the following family members:

  • Your lawful spouse
  • Your qualified domestic partner
  • Your unmarried dependendent child(ren) up to the child's 26th birthday. Dependent children including your natural children, stepchildren, adopted children, foster children and any child for whom you have legal guardianship. Coverage for dependent children age 19 and older (but not yet age 26) is subject to certain guidelines as outlined below.

You cannot be covered under any of the Advocate medical plans as both an associate and a dependent. If both parents are Advocate associates, only one parent can cover the children as dependents. You or your dependents may not elect to be covered by more than one Advocate plan.

Starting January 1, 2010, if you have a child who is at least age 19 but not yet age 26 and who is a:

  • Full-time student—the child is eligible for medical, dental and vision coverage until he or she reaches age 26. The cost of this coverage will be included in your associate contribution. Verification of the child's student status will be required.
  • Non-student who qualifies as a dependent child (as defined by the IRS)— the child will be eligible for medical, dental and vision coverage. The costs for:
    • Medical coverage will be the single associate rate (based on your years of services).
    • Dental and vision coverage will be the full cost of the coverage.
    In both cases, the cost of coverage may be paid on a pre-tax basis. A copy of the 2008 tax return (listing the child as a dependent) will be required.
  • Non-student who does NOT qualify as a dependent child (as defined by the IRS)—the child will be eligible for dental and vision coverage only. The cost of this coverage will be the single associate rate; this contribution rate will apply separately to each child.

A non-student dependent child cannot be covered under another medical plan.

If you have a dependent child who will be eligible for coverage based on these eligibility guidelines—and if you want to include this child under your coverage effective January 1, 2010—you MUST complete the enrollment process.