Enroll in the State Health Plan

Who is eligible to enroll in a benefit plan with the State Health Plan?

State employees with permanent employment working at least 30 hours per week. For these employees, the state pays 100% of the cost of the coverage.
Permanent state employees working 20 or more hours but less than 30 per week. These employees may enroll, but they must pay the full cost of coverage.
Dependents' coverage, paid by the employee alone, is available at group rates. Dependents that are eligible for coverage include the following:

Legal spouse;
Unmarried children under age 19, including natural, legally adopted, or foster children of the employee or employee’s spouse, as long as the employee is legally responsible for such child’s maintenance and support;
Unmarried stepchildren of the employee when the employee is married to the stepchildren’s natural parent and the stepchildren’s primary residence is with the employee;
Unmarried children, from age 19 to 26, who are full-time students at a school or college accredited by the state of jurisdiction; and
Unmarried children who are physically or mentally incapacitated, to the extent that they are incapable of earning a living, and such handicap developed or began to develop before the dependent’s 19th birthday (or 26th birthday, if a full-time student).

New employees who enroll themselves and dependents within 30 days of employment are not subject to a waiting period for pre-existing conditions.

To enroll in a plan, follow these simple steps:

Verify with your Health Benefit Representative/benefits office, if your enrollment is done through an electronic enrollment system or by completing a paper application.

Employees that enroll through the BEACON system, click here for instructions.
Employees that enroll through ebenefitsNow, click here for instructions.
To enroll by paper, Enrollment Applications can be obtained from your New Employee Enrollment Kit, your Health Benefit Representative/benefits office or you can download the Enrollment Application below and follow the instructions included on the application.

Enrollment Application(PDF, 95KB)
Enrollment Application(PDF, 75KB)
For National Guard, Fire Department, Rescue Squad and Emergency Medical Services Members.

Complete any necessary forms for your dependents
- Certification of Dependent Eligibility (PDF, 117KB)
  If you have a child whose last name is different from yours, you will need to complete this form.
- Coverage Request for Incapacitated Dependent (PDF, 62.65KB)
  If you have a child over age 19 who is eligible as a mentally or physically incapacitated dependent, complete this form.
Indicate if you were covered under a previous plan
- Prior Health Coverage Information (PDF, 183KB)
  If you had coverage under a previous plan, you can apply to receive credit against the waiting period for pre-existing conditions.

Please print out the appropriate forms above and give the completed forms to your Health Benefits Representative/benefits office for processing.