Eligibility Tables
Determining Eligibility by Employee Type
| Employee Type | Temporary Employee, Student Employee, Graduate Student, RA, or TA |
|---|---|
|
Position Length: < 3 mths Hours/Week: 1-29 hrs |
These employees would be NOT ELIGIBLE for employer-provided health insurance. Other factors, such as additional or previous employment in the University or UNC System may impact this. |
|
Position Length: > 3 mths Hours/Week: 30+ hrs |
Based on the information you provided, this employee would be ELIGIBLE for employer-provided health insurance at a cost of $117.62 per month charged to your department. Once eligible employees are entered into the HR System, they must go to the online enrollment portal to either elect or decline health insurance. |
|
Position Length: < 3 mths Hours/Week: 30+ hrs |
These employees would be NOT ELIGIBLE for employer-provided health insurance. Other factors, such as additional or previous employment in the University or UNC System may impact this. |
|
Position Length: < 3 mths or > 1 yr Hours/Week: Not sure |
If you are not sure about the weekly work hours, this employee may be subject to a look back provision which allows variable hour employees to be measured over a 6-12 month time period to see if the employee averages 30 hours or more per week. If the employee does average 30+ hours per week after the look back period, health coverage will have to be provided going forward for at least 6 months, regardless of actual hours worked. |
Determining Eligibility by Credit Hours Taught
|
Credit Hrs Taught
|
Hrs/ Week Effort EQUIV | Corresponding FTE | % of FT |
Eligibility |
|---|---|---|---|---|
| 1 | 3 | 0.075 | 7.5% | NOT ACA healthcare eligible |
| 2 | 6 | 0.150 | 15% | NOT ACA healthcare eligible |
| 3 | 9 | 0.225 | 22.5% | NOT ACA healthcare eligible |
| 4 | 12 | 0.300 | 30% | NOT ACA healthcare eligible |
| 5 | 15 | 0.375 | 37.5% | NOT ACA healthcare eligible |
| 6 | 18 | 0.450 | 45% | NOT ACA healthcare eligible |
| 7 | 21 | 0.525 | 52.5% | NOT ACA healthcare eligible |
| 8 | 24 | 0.600 | 60% | NOT ACA healthcare eligible |
| 9 | 27 | 0.675 | 67.5% | NOT ACA healthcare eligible |
| 10 | 30 | 0.750 | 75% | ACA healthcare eligible |
| 11 | 33 | 0.825 | 82.5% | ACA healthcare eligible |
| 12 | 36 | 0.900 | 90% | ACA healthcare eligible |
| 13 | 39 | 0.975 | 97.5% | ACA healthcare eligible |
| 13+ | 40 | 1.000 | 100% | ACA healthcare eligible |
