Enrollment Eligibility

You can enroll in the Benefits of Caring program if you:

  • Are a benefit eligible full-time employee or a benefit eligible part-time employee
  • Meet the Catholic Health eligibility requirements, including any waiting period, and
  • Are actively at work when your coverage is scheduled to begin
  • You may also enroll eligible dependents in many of our benefit programs.

  • Your spouse
  • Your children, provided that they are within the age limits for the plan(s)
  • Your biological grandchild if (i) you have taken a federal tax deduction for the individual as a “Qualifying Relative” under the Internal Revenue Code in the year prior to the year in which your election to cover the individual is made and you intend to take such a deduction for the year for which coverage is sought; and (ii) the individual shares your primary residence as his or her primary residence.
  • Any individual not described in the foregoing “Eligible Dependents” categories who is eligible to file a tax return jointly with you under Internal Revenue Code section 6013.

      

Qualifying children include:

  • Natural children
  • Legally adopted children (or a child placed for adoption) if the child is under 18 years of age at the time of the adoption (or placement for adoption)
  • Stepchildren (as defined under federal law)
  • Eligible foster children
  • Any other person whose welfare is the legal responsibility of the employee pursuant to a written divorce settlement, written separation agreement, court order or order by an administrative process having the force and effect of state law.


Note: The Select Plan (a medical coverage option) is not available to spouses who have access to benefits through their own employer.

If you have a dependent enrolled in the healthcare plan, you will be asked to provide documentation to prove eligibility. Documents will be verified by Consova.


A partial list of documents you may be asked to provide includes:


  • Marriage Certificate
  • Federal Tax Return
  • Birth Certificate
  • Adoption Certificate
  • Court Order/QMCSO


Please be assured and understand that any/all information you provide to Consova is kept secure and confidential, at ALL times.


If you have any questions about this process or need assistance, please call Consova’s Dependent Eligibility Verification Assistance Center at 1-844-872-1592, Monday through Friday, 10 am–6 pm ET.


  • Our medical plans cover dependent children until the end of the year in which they turn age 26, or any age as long as the child is unmarried and is your dependent for federal income tax purposes for the applicable calendar year provided they are physically or mentally incapable of self-support, but only if the physical or mental incapacity commenced before the child reached age 26.
  • Our dental plans cover dependent children until the end of the year in which they turn age 26, or any age as long as the child is unmarried and is your dependent for federal income tax purposes for the applicable calendar year provided they are physically or mentally incapable of self-support, but only if the physical or mental incapacity commenced before the child reached age 26.
  • The Davis Enhanced Vision Plan covers dependent children until the end of the year in which they turn age 26, or any age as long as the child is unmarried and is your dependent for federal income tax purposes for the applicable calendar year provided they are physically or mentally incapable of self-support, but only if the physical or mental incapacity commenced before the child reached age 26.
  • Our dependent life insurance benefit is offered for unmarried dependent children from date of birth until the end of the year in which they turn age 26.
  • The Accident Insurance, Hospital Indemnity, Critical Illness, and Legal Insurance benefit is offered to children through the end of the year in which they turn 26.
  • The Identity Theft Protection is offered to children until the end of the year in which they turn 26.

Once you have made your enrollment choices, you generally cannot make any changes until the next annual open enrollment period. However, you may make certain changes if you have a qualified status change or another permitted election change.


If you have a qualified status change, you must contact MyHR by phone 516-705-6947 or email (MyHR@chsli.org) within 31 days of the event. You must also send in documentation with proof of the event (i.e. proof of gain/loss of other insurance, marriage certificate, death certificate, etc.). Note: Newborns are NOT automatically added to your coverage.


Qualified status changes and other permitted election changes include, but are not limited to:

  1. Your legal marital status changes.
  2. You increase or decrease your number of dependents (birth, death, adoption or placement for adoption).
  3. Your dependent child is no longer eligible for coverage according to the terms of the plan(s) (exceeds age limitations). Our medical plans cover dependent children until the end of the year in which they turn age 26. Our dental plans cover dependent children until the end of the year in which they turn age 26.
  4. A court decree orders that you must provide health coverage for your dependent.
  5. Coverage under your spouse’s plan is significantly curtailed or ceases.
  6. You, your spouse, or your dependent child begin or terminate employment, or your spouse or dependent child switches from full-time or part-time employment (or vice versa) and you, your spouse and/ or dependent child becomes or ceases to be eligible for coverage.
  7. You switch from full-time to part-time employment (or vice versa). Benefit changes become effective the first of the month following this type of change.
  8. Your spouse or dependent child(ren), who formerly was not a resident of the United States, arrives in the United States.

The information in this website is intended to provide highlights of the Benefits of Caring program, but in no way do the descriptions presented in this website supersede the provisions contained within the Catholic Health & Welfare Benefits Plan (the “Plan”), or the Plan’s Summary Plan Description, or any relevant insurance contract. In the event of any discrepancies, the actual provisions of the relevant insurance contract Plan document will prevail. Employees represented by a union should contact their union or HR benefits representative as applicable for benefit information. Catholic Health, in its sole discretion, reserves the right to amend or discontinue any or all of the benefits under the Plan and any or all of the programs within its Benefits Program at any time. Participation in the Benefits of Caring Program does not give you any right to continued employment. In addition, note that this Plan is intended and designed to be administered consistent with the tenets of the Catholic faith. Therefore, the Plan will not cover any costs or benefits that do not comply with the Ethical and Religious Directives of the Catholic Church.