Health and Welfare Plans and Benefits Enrollment 

Health and Welfare Plans and Benefits Enrollment

Rice cares about the health of its employees. The university provides various options for medical, dental, and vision coverage, and provides drug prescription coverage with all medical plan options. Rice gives employees the opportunity for tax savings through pre-tax payroll deductions and flexible spending accounts. Medical, dental, and vision coverage are provided through Aetna, prescription coverage is administered through Express Scripts, and WageWorks administers the Flexible Spending Accounts. These plans help employees meet their healthcare needs. To learn more about the plans, the coverage they provide, and their rates, please refer to the corresponding information included on this page.

Benefits Eligibility

Rice Benefits

Eligible dependents are spouses, domestic partners, and eligible children up to age 26. Eligible children are natural children, legally adopted children, stepchildren, children for whom you are the legal guardian (including grandchildren), foster children, children placed with you for adoption, and children of your domestic partner (subject to limitations). You will be required to prove dependent status when you add new dependents to the plan.

POLICY 403 - Benefits Eligibility - this policy provides specific details on eligibility.

ACA Benefits Eligibility

The Affordable Care Act (ACA) requires employers to offer minimum essential coverage to employees who work 30 hours of service or more per week as determined under applicable ACA regulations. Rice employees and their eligible dependents may be eligible to participate in one of Rice’s employer-sponsored medical insurance plans.

Employees that are eligible to participate in one of Rice’s medical insurance plans under the ACA will not be able to participate in Rice’s other employer-sponsored benefit plans such as dental, life insurance, holidays, and benefit time until they move into a Rice Benefits Eligible position, as defined by University Policy 403.

Eligible Dependents

Once eligible for benefits, employees may also choose to cover eligible dependents in the medical, dental, optional life insurance and optional accidental death and dismemberment insurance.

All eligible dependent children may continue under the benefits plan until they reach age 26, regardless of their status as a student.

Unmarried dependent children, age 18 or older, who are mentally or physically impaired and incapable of taking care of themselves are also eligible for coverage (the disability must have begun before the dependent turns 19). Proof of disability must be provided to Human Resources. Coverage for a disabled dependent can continue for as long as the dependent is incapable of self-support, remains unmarried, and is dependent on the Rice employee for support.

Eligible dependents include:

Spouse (unless legally separated), including legally recognized same-sex spouse Domestic partner (completed the Domestic Partner Registration Packet); not eligible for long-term care. All eligible children up to age 26 (as of July 1, 2010) for the medical plan. Eligible children include:

  • Natural children
  • Legally adopted children
  • Stepchildren
  • Children for whom the Rice employee is the legal guardian
  • Foster children
  • Children placed with the Rice employee for adoption
  • Children of domestic partners (who depend on the Rice employee for support and live with Rice employee in a regular parent/child relationship)
  • Unmarried dependent grandchildren (must provide court-ordered documentation of dependent status)
Legal Disclaimer

By proceeding with enrollment you certify that any enrolled dependents are eligible for coverage, as specified above. Dependent eligibility is subject to audit at any given time and in the event of an audit, you will be asked to provide documentation of your dependents’ eligibility. The inclusion of any ineligible dependents will result in immediate termination of coverage and the employee will be responsible for financial restitution to the plan.