Eligibility
This benefit is available to eligible employees and their dependents. Eligible employees are considered regular status employees and non-regular term appointment employees working 30 hours or more per week. Eligible dependents may include spouse, qualified domestic partner, children to age 26 (the end of the month in which age 26 is attained), and disabled children age 26 or older.Enrollment
New eligible employees may enroll by completing and submitting the Benefit Enrollment/ Waiver Form within their first 31 days of employment . Benefits are effective the first pay period after 30 days of employment. Otherwise, existing employees may enroll annually during the open enrollment process (fall) or due to a change in status/qualifying event.About the Plan
Coverage is offered through the State of New Mexico’s benefit program. The State of New Mexico has contracted with ERISA, a third party administrator (ph: 855-618-1800), to manage the medical/prescription and dental programs.
The dental plan is a Preferred Provider Organization (PPO) program which provides coverage at 100% of the scheduled fees for preventative and diagnostic care not subject to the deductible. After meeting a $50 deductible ($150 maximum per family), other dental services are covered at a percentage of the scheduled fees. The maximum paid by the plan, per calendar year, is $1,750 per covered person. Orthodontic coverage is also included up to $2,000 lifetime maximum per covered child and $1,750 lifetime maximum per covered adult.
Dental coverage is effective the first day of the pay period following 30 days of employment.
