| Initiating body: | Office of Human Resources |
|---|---|
| Contact: | Assistant Director Human Resources 438-8311 |
| Revised on: | 08/2004 |
Benefits eligible employees in domestic partnerships may receive a reimbursement for part of their partner's health insurance premium expenses. The University will reimburse eligible employees for a portion of the cost of purchasing health, dental and vision coverage for their dependent partners and their domestic partner's dependent children.
To qualify, the employee and the domestic partner must complete and submit the Illinois State University Domestic Partnership Statement, a confidential form filed with the Office of Human Resources. (Currently, all employees are required to provide proof of dependency status documentation to enroll their dependents in benefit plans.) If an employee and the employee's domestic partner are both employees of the University or any other State of Illinois agency, each must be insured individually, and may not be reimbursed for their partner's health insurance premium.
If there is any change in status as domestic partners, the employee agrees to notify the Office of Human Resources within thirty (30) days of such change by filing a statement of Termination of Domestic Partnership, which will make the domestic partner no longer eligible for University sponsored benefits.
Health Insurance Premium reimbursements are processed on a quarterly basis. A completed Medical Premium Reimbursement claim form with documentation providing evidence that medical coverage for their domestic partner was purchased from a bona fide insurance company or HMO plan, must be submitted to the Office of Human Resources. Evidence of payment will include copies of canceled checks, bank statements, or payroll stubs, and medical premium paid (invoice or employer rate sheet) for each month/pay period.Reimbursements will be made on the last working day in February, May, August and November. Forms must be received in the Office of Human Resources on the first day of the month in which reimbursements are scheduled to be paid in order to be included in that quarter’s payment.
The amount of reimbursement will be based on the difference between what the employee had to pay to purchase his or her partner's coverage versus the premium that the employee would pay for dependent coverage under the State of Illinois Quality Care plan provided by Central Management Services (CMS). This amount is limited to the amount the employer would pay for dependent coverage under the State of Illinois Quality Care plan. This is a taxable benefit and withholding taxes will apply.
Fiscal Year 2005 (rates may be adjusted based on union contract negotiations with the State of Illinois) employee cost for dependent coverage under the Quality Care Plan:
| Health | Dental | ||
|---|---|---|---|
| One Dependent | Two or More Dependents | One Dependent | Two or More Dependents |
| $150 | $180 | $5.00 | $7.50 |
This amount will be deducted from the amount the employee had to pay to purchase his or her partner's coverage.
The reimbursement amount will be limited to the monthly fiscal year 2005 amount the Employer would pay for dependent coverage under the Quality Care Plan:
| Health | Dental | ||
|---|---|---|---|
| One Dependent | Two or More Dependents | One Dependent | Two or More Dependents |
| $441.18 | $562.88 | $16.22 | $50.16 |
The reimbursement rates above are for full-time employees. Reimbursement for part-time benefits eligible employees is available at a prorated rate.
