Benefits Eligibility
Employee Eligibility
Regular and Non-Regular-Term-Appointment Faculty or Staff hired at .75 FTE or greater (working 30 hours or more per week).
- Medical*
- Dental*
- Vision*
- Flexible Spending Accounts**
- Voluntary Benefits - Accident, Critical Illness, Hospital Idemnity*
- Group life
- Long Term Disability
- Voluntary Life & AD&D
*indicates benefits available to eligible dependents, see below.
**indicates benefits available dependents that meet IRS eligilibility guidelines.
Additional benefits listed below.
Retirement (ERB) - All employees hired at 0.25 FTE or greater (working 10 hours or more per week).
Voluntary Retirement (403b/457b) - All employees, including students and Graduate Assistants (GAs)
TimelyCare - Regular and Non-Regular-Term-Appointment Faculty or Staff or staff hired at .75 FTE or greater (working 30 hours or more per week). This benefit is also available to students enrolled at the NMSU Main Campus and NMSU Global Campus.
EAP-Well Being Solutions - ALL NMSU employees and family members living in the same household.
Dependent Eligibility
In order to enroll dependents in benefits, proof of eligibility must be submitted for each dependent to be covered.
Eligibility for dependent children may vary by plan/policy; please refer to the plan information for each plan/policy to verify dependent eligibility.
It is your responsibility to remove any dependents who cease to meet the eligibility requirements within 31 days. Failure to do so may result in losing the ability to participate in any health benefits offered by NMSU, as well as a responsibility to repay all claims paid out on behalf of the ineligible dependent.
Spouse
Requirement: Must be your legal spouse, unless legally separated
Proof of Eligibility: Copy of presently valid legal or religious marriage certificate, which must include the date of marriage.
Domestic Partner
Requirement: Two individuals who live together in a long-term relationship of indefinite duration. There must be an exclusive mutual commitment similar to that of marriage, in which the partners agree to be financially responsible for each other’s welfare and share financial obligations (please see ARP 8.03 – Domestic Partner Eligibility for Benefits).
Proof of Eligibility: See our Domestic Partner’s benefits page for the Affidavit and acceptable supporting documentation.
Child under age 26
Requirement: Must be your qualifying child(ren) until they reach age 26. Proof of Eligibility (must support the parental relationship). Submit 1 of the following:
- Child(ren) less than 26 years of age:
- Biological children, Step-children, Biological or adopted children of a qualified domestic partner, or children for whom you have court-appointed guardianship
- Copy of the child’s legal or state issued birth certificate naming you, your spouse or your domestic partner as the child’s parent.
- Copy of legal guardianship/custody papers issued by the courts naming you, your spouse or your domestic partner as the child’s guardian. All documents must include the following information: names of the child and guardian, official signature and/or court seal/stamp.
- NEWBORNS ONLY (within 31 days of date of birth): Copy of official hospital proof of birth form with the mother’s name and the baby’s name. If the birth mother is not covered on the NMSU benefits, then proof of marriage or domestic partnership will need to be provided to establish the mother’s relationship to the employee. A copy of the child’s birth certificate must also be provided, upon receipt, within 3 months of the child’s birth to continue coverage
- Children for whom you have a Qualified Medical Child Support Order or other Court Appointed Guardianship
- Copy of a final court order (divorce decree/custody agreement) naming you, your spouse or your domestic partner as the child’s parent. All documents must include the following information: names of the child and parent, official signature and/or court seal/stamp.
- Copy of a Qualified Medical Child Support Order (QMCSO) showing you are required to provide medical coverage for the child. Documentation must state your current employer’s name and include the names of the child and parent.
- Legally adopted children
- Copy of legal adoption papers issued by the courts naming you, your spouse or your domestic partner as the adoptive parent. All documents must include the following information: names of the child and parent, official signature and/or court seal/stamp.
- Biological children, Step-children, Biological or adopted children of a qualified domestic partner, or children for whom you have court-appointed guardianship
If you are providing documentation for a child of your legal spouse or domestic partner, documentation must also include the required documentation listed for Spouse or Domestic Partner.
Child age 26 and older
Requirement: Any dependent disabled child, over the age of 26 who otherwise meets the criteria for “child” and is permanently disabled and not able to earn his or her own living because of a physical or mental disability which started prior to the date he or she reaches the maximum age for dependent children under the Plan.
Proof of Eligibility: Documentation must support the dependent relationship and disabled status. Submit the following set of documents:
- Any one of the documents listed for Child to age 26; AND the following document:
- Physician statement certifying that the dependent child cannot support themselves because of a physical or mental disability prior to reaching the maximum age. All information must be pre-printed and dated within the last 12 months.
Specifically for medical/dental plans through New Mexico Health Care Authority: Physician must complete the medical carrier’s Disabled Dependent Request Form certifying that the dependent child cannot support themselves because of a physical or mental disability prior to reaching the maximum age. The carrier will then determine eligibility for benefits and either approve or decline the coverage. The Disabled Dependent Request Form must be completed by the physician and submitted to the medical carrier each year for approval to continue the coverage. The forms for each carrier can be found at www.mybenefitsnm.com under Forms, Guidelines and Policies: Disabled Dependent Forms.
Note: Additional information or carrier specific form may be required by the benefit carrier to determine eligibility for benefits.
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