Employees with Benefits
UMMS offers a choice of several subsidized health plans to benefits-eligible employees. The various benefit options are listed on the Group Insurance Commission (GIC) website. All new benefits eligible employees will be scheduled to attend a mandatory Benefits Orientation offered by Human Resources. Specific enrollment forms and plan outlines can be obtained during this session or contact the UMMS Benefits Department for more information.
Effective Date of Benefits for Employees
Please note that all UMMS subsidized coverage begins on the first of the month following 60 days of employment. Please refer to the chart below to determine when UMMS coverage would commence.
If the start date of employment is between
GIC Coverage begins on
|January 2 to February 1||April 1|
|February 2 to March 2||May 1|
|March 3 to April 2||June 1|
|April 3 to May 2||July 1|
|May 3 to June 2||August 1|
|June 3 to July 3||September 1|
|July 4 to August 2||October 1|
|August 3 to September 2||November 1|
|September 3 to October 2||December 1|
|October 3 to November 2||January 1|
|November 3 to December 3||February 1|
|December 4 to January 1||March 1|
Coverage Options for the Interim Period
It is recommended that all UMMS employees arrange for health insurance coverage during this interim period. In particular, it is federally mandated that all individuals holding J-1 Exchange Visitor visa status meet the J-1 insurance minimums outlined by the U.S. Department of State (DOS) for themselves and any accompanying family members for the interim period before the GIC coverage commences. Individuals in J-1 exchange visitor status, please review J-1 health insurance minimums.
Massachusetts Health Connector Plans: Massachusetts Health Connector Plans are designed for employees who are not eligible for benefits through the Group Insurance Commission (GIC) or who need interim coverage while waiting for their GIC coverage to commence. The Health Connector offers plans from many of Massachusett’s major insurance carriers and each carrier offers at least three coverage options that offer varying benefit levels and premiums to meet your needs. To enroll in one of these programs visit www.mahealthconnector.org or call 1-877-623-6765 to compare the options.
COBRA: Some new employees may be eligible for COBRA coverage from their previous employer to cover this gap. Your prior Benefits Department or health insurance carrier should send you the COBRA application.
“B”waiver (NOT an option for J-1 Exchange Visitors): If a new employee, or his/her covered dependent, incurs unplanned and urgent medical expenses during his/her new hire waiting period, he/she may apply to buy GIC health coverage at the full cost premium for that period of time (60 or more days, depending on hire date). The total claims expenditure must exceed the full cost premium for the hiatus period. For questions or more information, please email Benefits.UMMS@umassmed.edu or call 508-856-5260, option 1.
Unpaid Leave of Absence: Employees who are on FMLA to care for a family member (and not their own illness) or are on a personal, non-medical leave and are unpaid for 30 calendar days or more will be directly billed 100% of the health insurance premium by the GIC. If the bills are not paid in a timely manner, GIC will terminate health insurance coverage for non-payment and the employee will not be able to re-enroll until the next open enrollment period.
In the event that there is any inconsistency between this summary and any legal printed documents, including all plan provider legal documents, the legal documents govern. The benefit information provided is a summary of what we cover and what you pay. It does not list every service that we cover or list every limitation or exclusion. UMMS benefits, premiums, deductibles, and/or copayments/coinsurance may change at any time without notice. To get a complete list of services we cover, please call the health plan. Copies of plan summaries and the GIC Benefits Decision Guide are available in the Benefits Department or from the vendor(s). Also, copies of each health plan provider benefit summary are available at http://www.mass.gov/gic/sbc.