BAYADA

Eligibility

Ready to explore your BAYADA benefits? We’re here to help you understand your eligibility and who you can cover. As you get ready to enroll, take note of important enrollment windows as a new hire or if you experience a Qualified Life Event. If you enroll dependents, remember to complete dependent verification by the deadline.

Benefits Eligibility

Benefits eligibility for Hawaii caregivers and clinicians is based on your practice, Class Field Value (CFV), employment status, and applicable Hawaii-specific eligibility requirements.

Eligible populations include:

  • Home Care Full-Time: FT
  • Home Care Part-Time: PTP / PTN
  • Home Health/Hospice Full-Time: VFT / SFT
  • Home Health/Hospice Part-Time: VPB / SPB
  • Home Health/Hospice Per Diem: VPD

New Hires

When Do I Become Eligible?

As a new hire, your eligibility for BAYADA’s medical, dental, and vision benefits depends on your employment classification and hours worked.

Full-Time and Guaranteed Part-Time Employees: Become eligible on the first of the month following four consecutive weeks of employment.

Non-Guaranteed Part-Time and Per Diem Employees: Become eligible on the first of the month following four consecutive weeks of working at least 20 hours per week.

Once eligible, you must work at least 80 hours per month to maintain your medical, dental, and vision coverage.

When Can I Enroll?

Once you meet the eligibility requirements, BAYADA will notify you through Workday and email when it’s time to enroll.

You have until the end of your eligibility month to enroll yourself and your eligible dependents in medical, dental, and vision coverage.

Depending on your employment classification, you may also qualify for additional BAYADA benefits, including life insurance, identity theft protection, 401(k), and voluntary benefits. Enrollment timelines may vary by benefit.

For questions about your enrollment options or specific benefit timelines, contact a BAYADA Benefits Counselor at 877-318-1764. 

Please note: To enroll eligible dependents in a benefit plan, you must first enroll yourself in that plan.

Dependent Eligibility

Eligible dependents include:

  • Your legal spouse, domestic partner, or civil union partner.
  • Children under the age of 26, including natural children, stepchildren, legally adopted children, and children under legal guardianship, regardless of student, dependency, or marital status.
  • Unmarried children of any age who are fully dependent on you for support due to a disability and who are indicated as such on your federal tax return. Documentation of the child’s handicapped or disabled status must be provided. 

IMPORTANT NOTE

You may enroll your legal spouse, domestic partner, or civil union partner in one of BAYADA’s medical plans only if they do not qualify for their own employer-sponsored medical coverage.

Coverage for an enrolled child ends on the last day of the month in which they turn age 26.

Domestic Partner Eligibility

You may enroll an eligible domestic partner or civil union partner in BAYADA benefits. After enrollment, your domestic partner will be included in BAYADA’s dependent verification process. You will receive an email directly from our verification vendor, Verifi1, with instructions on the documentation needed and next steps. Be sure to complete the verification process by the required deadline to avoid an impact to coverage.

If you enroll a domestic partner in coverage, imputed income may apply. The value of the coverage may be added to your taxable income each pay period, but you will not receive this amount as additional pay.

Dependent Verification

To ensure that only eligible dependents are enrolled in our medical plans, we conduct a Dependent Eligibility Verification (DEV) program. New dependents enrolled in the plan will be reviewed and verified by Verifi1, a third-party partner. Providing these documents helps ensure your dependents are properly enrolled and covered under your medical plan.

A partial list of documents you may be asked to provide includes:

  • Marriage certificate
  • Federal tax return
  • Birth certificate
  • Adoption certificate
  • Court order/QMCSO

 

How to Submit Dependent Verification Documents

You have one month from the date you receive the email notification to log in to the Verifi1 portal and submit the required documents.

  • Go to the Verifi1 Portal link provided in your email notification and select the Register Now button. Answer the questions that follow to register as a new user.
  • Once registered, use the User ID located at the top right-hand corner of your letter, your email address, and the password you created when you registered.
  • Verify the data for each dependent and select the documents you will submit for verification.
  • Upload or drag and drop the files into the system. Please note: Documents must be uploaded for each dependent individually.
  • Within three business days, you will receive an email regarding the review of the documents you submitted and the status of your dependent.
  • If your dependent does not meet the eligibility rules, please log in to the Verifi1 portal and voluntarily request that the dependent(s) be removed.