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Employee Eligibility

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Eligibility

All regular full time employees who work 30 or more hours per week are eligible for all City of Fort Worth benefits.

Part-time employees who work 20–29 hours per week are eligible for dental, basic life insurance, supplemental life insurance, flexible spending accounts, 457 plan, and voluntary benefits.

Part-time employees who work fewer than 20 hours per week, as well as seasonal and temporary employees, are not eligible for benefits.

Employees can enroll their spouse, common law spouse, natural child, foster child, stepchild, grandchild, legally adopted child, or child under the employee’s legal guardianship or custodianship onto a city health plan as a dependent.

Dependent Certification

In order to add your dependents you need to supply Human Resources with the required forms of proof of relationship status. Unless otherwise indicated all documentation should be originals.

Below are the documents required for each dependent type:

Spouse

  • Marriage License AND
  • Last year’s tax return if married for more than 12 months OR
  • If common law: Declaration and Registration of Informal Marriage available at the county clerk’s office

Dependent Child(ren)

  • Birth certificate(s) listing employee, spouse as parent. For stepchildren, when not covering the spouse, a marriage certificate and tax return will be requested.
  • If applicable:
    • Adoption agreement
    • Legal guardianship documents
    • Divorce decree documents identifying the dependent child; or
    • Qualified Medical Court Support Order

Disabled Dependent Children

For disabled dependent children age 26 or over, whose disability began prior to age 26, a completed dependent eligibility questionnaire verifying an ongoing total disability and written documentation from a physician verifying an ongoing disability may be required.

Coverage Effective Dates

Medical, Dental, Flexible Spending Accounts (FSA), Health Savings Account (HSA) and Voluntary Plans:

One month after date of hire

Basic Life, Supplemental Life and Long Term Disability

First of the month following 30 days after date of hire

Pension Plan, 457 Deferred Compensation

Immediately upon hire

Qualifying Events

Qualifying events are situations that may arise during the plan year that allow you to make changes to your plan(s). Qualifying events are determined by the Internal Revenue Service and must follow what the IRS calls the ‘consistency rule.’ What this means is that the change to the plan is a logical response to the qualifying event. For example, the loss of your spouse’s job would not allow you to drop the spouse from the health insurance because that is not a change consistent with the qualifying event.

For a qualifying event, come to the Benefits Office with the necessary documentation and fill out paperwork to make that change. Unless otherwise indicated all documentation should be original documents.

Qualifying Event Deadline to Enroll Change Date Documentation Required
Marriage

Common law marriage

30 days from event date

Date of Event

Marriage license; Affidavit of Domestic Partnership ;

Declaration and Registration of Informal Marriage available at the County Clerk’s Office

Birth

Adoption

Placement for Adoption

60 days from event date

Date of Event

Birth certificate/birth facts document from the hospital;

Adoption agreement Custody /Guardianship Documents;

Portion of the divorce decree showing the dependent (if applicable)

Commencement of employment by spouse or change in hours affecting health insurance eligibility

(Gain of coverage)

30 days from event date

Date of Event

Offer letter indicating start date and date benefits begin;

Copy of completed enrollment form indicating when coverage begins and that change is due to new hire;

Letter from new company’s Human Resources Department

Termination of employment by spouse or change in hours affecting health insurance eligibility

(Loss of coverage)

30 days from event date

Date of Event

Certificate of Credible Coverage from health insurance provider;

Letter on company letterhead from the previous company indicating when coverage will end and reason coverage ending.

Death

30 days from event date

Date of Event

Original or Certified copy of the death certificate

Divorce

30 days from event date

Date of Event

Divorce Decree indicating date of dissolution of marriage.

Form 1095-C

Under the Pension Protection Act, the City of Fort Worth is now required to send employees a 1095-C form, which identifies who was covered by the city's health insurance plan for the plan year.

Employees should keep the 1095-C form with a copy of their completed tax returns after filing to avoid potential penalties in the event of an IRS audit.

Learn more