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Eligibility and Enrollment

Enrollment

Enrolling at Hire

You can enroll by using myOhio.gov and clicking on myBenefits or by submitting a completed Benefit Enrollment/Change Form (ADM 4717) for medical coverage to your agency within 31 days of your date of hire. If you do not enroll within this time frame, you must wait until the next open enrollment period or until you experience a change in status/qualifying event. Documentation will be required for enrolling dependents. 

Medical coverage begins on the first day of the month following the month of your date of hire, regardless of when your start date falls and regardless of when your 31-day deadline falls.

Enrolling/Making Changes During Open Enrollment

You may enroll or add/drop dependents during the open enrollment period. You can enroll by using myOhio.gov and accessing myBenefits or by submitting a completed Benefit Enrollment/Change Form (ADM 4717) for medical coverage to your agency during the open enrollment period. Coverage becomes effective on the first day of the next benefit period, which begins July 1. Documentation will be required for adding dependents. 

Enrolling/Making Changes Due to a Change in Status/Qualifying Event

Under normal circumstances, you cannot change or drop your coverage until open enrollment unless you experience a change in status/qualifying event. Review the Change in Status/Qualifying Events Matrix on the Eligibility and Enrollment page for more information. You can enroll by using myOhio.gov and accessing Self-Service or by submitting a completed Benefit Enrollment/Change Form (ADM 4717) to your agency within 31 days of the event. Documentation will be required for any changes. 

Enrollment in Health Management Programs

Health Management, Prescription Drug and Behavioral Health Programs

When you enroll in the medical plan, you also will be enrolled in the Take Charge | Live Well -- the state's health and wellness program, the prescription drug program and the behavioral health program.

Access details about these benefits programs:

Benefits Zip Code Zone Chart

Cities/Regions 3-Digit ZIP Code Third-Party Administrator Find a Provider Guide
(Doctor, Hospital, Urgent Care, etc.)

Cincinnati,
Dayton, Springfield, Youngstown

Southern Ohio

Out of State

437, 438, 439, 444, 445, 450, 451,
452, 453, 454, 455, 456, 457, 458,
all out-off-state ZIP codes
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Description automatically generated with low confidence

Plan/Network:
Blue Access (PPO)
Anthem
Provider Guide
Akron,
Columbus,
Cleveland,
Toledo
430, 431, 432, 433, 434, 435, 436, 440,
441, 442, 443, 446, 447, 448, 449 
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Description automatically generated

Plan/Network:
OhioMed
Medical
Mutual of Ohio Provider Guide

Part-Time Permanent vs. Part-Time Temporary Employment Benefits

Part-time Permanent Employees

  • Part-time permanent employees’ premium tier will be determined annually rather than semi-annually.

  • The percentage that part-time employees pay toward their premium is based on the average service hours in an active pay status. Average service hours in an active pay status shall be calculated over a 12-month period (Standard Measurement Period), which starts with the first pay period in May through the last pay period in April.

    • All part-time permanent employees working an average of 30 or more hours a week (over a 12-month period) will be eligible for the full-time deduction tier, or 15 percent.

    • All part-time permanent employees working an average of 29.99 or less hours a week (over a 12-month period) will be eligible for the 50 percent tier.

    • All part-time permanent employees working an average of 19.99 or less hours a week (over a 12-month period) will be eligible for the 100 percent tier.

Average service hours per week

Percent of premium you pay

0-19.99 hours

100%

20-29.99 hours

50%

30+ hours

15%

Part-time Temporary Employees

  • The State of Ohio is required to offer medical care coverage only, per the ACA, to all part-time temporary employees who average at least 30 hours of service per week throughout a twelve-month measurement period (Standard Measurement Period).

  • Part-time temporary employees are those employees typically hired as interns, intermittent employees, and external interim employees. This does not include Americorps or contingent workers.

    • Existing employees who were hired before April 5, 2014, and who averaged 30 work hours or more will be notified by DAS of their eligibility for medical coverage. Those who elect medical coverage will have coverage from July 1, 2015 through June 30, 2016, or until they terminate their service with the State of Ohio.

    • Employees who are hired with a reasonable expectation of averaging 30 hours or more per week will be eligible to enroll for coverage upon hire. Coverage is effective the first of the month following the hire date and cannot be terminated until the 12 months expires or the employee leaves state service.

    • Employees who are hired with a reasonable expectation of averaging 29 hours or less per week will be not be eligible at the time of hire and will instead be measured over a twelve-month period. The twelve-month measurement period for all newly hired part-time temporary employees is called the initial measurement period.

      • The initial measurement period begins the first full pay period after the first pay period with one or more hours of service credited.

      • After the initial measurement period, if the average service hours are 30 or more per week, the employee will be offered the opportunity to enroll the first of the month following the end of the initial measurement period. Part-time temporary employees meeting this criteria will be placed into the 15 percent tier.