Frequently Asked Questions - FAQ's

• Is there a 90-day wait for insurance benefits for new employees?
• Has there been a change in the way the state pays medical premium sharing?
• Were there any provisions that allow state agencies to fund the other 50% of premium sharing that the state does not pay for part-time employees?
• Can a part-time employee waive medical coverage and receive
  one half of the premium sharing if they show proof of other (non-state) medical coverage?
• If my employment changes from full-time to part-time or vice versa, will my premium sharing change?
• If I change from full-time to part-time in the middle of the month will I still get full premium sharing for the month?
• Was there a change in dependent eligibility?

Is there a 90-day wait for insurance benefits for new employees?

No, not at UTSA. There was a change in State law this year that does impose a 90-day wait for new hire employees. There was a provision in the law that allows state agencies to fund this wait for new hires utilizing local funds. UTSA has decided to fund this period of time during this period of time.

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Has there been a change in the way the state pays medical premium sharing?

Yes. New legislation effective 9/1/03, now only allows state agencies to provide 100% premium sharing to full-time employee. Full-Time employment includes anyone who works 40 hours per week or longer or who is considered 100% time. Any employee working less than 40 hours per week or 100% time is only entitled to 50 % premium sharing.

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Were there any provisions that allow state agencies to fund the other 50% of premium sharing that the state does not pay for part-time employees?

No, the state did not allow for agencies to make up the difference for part-time employees.

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Can a part-time employee waive medical coverage and receive one half of the premium sharing if they show proof of other (non-state) medical coverage?

Yes, as long as you provide proof of coverage, you may use ½ premium sharing to pay for eligible UT Sponsored insurance plans.

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If my employment changes from full-time to part-time or vice versa, will my premium sharing change?

Yes, if your appointment changes from full-time to part-time, you will change from 100% premium sharing to 50% premium sharing. Likewise, if your appointment changes from part-time to full-time you will change from 50% premium sharing to 100% premium sharing if you work at least 40 hours per week or more for 4.5 months or longer.

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If I change from full-time to part-time in the middle of the month will I still get full premium sharing for the month?

Premium sharing paid will be determined by the appointment that is effective on the first day of the month.

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Was there a change in dependent eligibility?

Dependent eligibility did not change during this legislative session. You are able to cover a legally married spouse and children that are under 25yrs of age. Stepchildren, adopted children, grandchildren, and children under legal guardianship may also be covered to age 25 but do require a special dependent application and approval from UT System.

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