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 For
more information, please refer to the
Aetna Web Site or call an Aetna
customer service representative at
1(800)287-9145 Monday through Friday - 8
a.m. to 6 p.m. |
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Employees have the opportunity to purchase group long term care insurance.
This insurance covers expenses incurred in skilled and intermediate nursing
homes as well as home health care and adult day care expenses. A variety of
daily and lifetime payment levels are available.
For more information, please see the Long Term Care Insurance Plan Description (PDF).
Eligibility
You are eligible to apply for coverage under the plan if you meet all
of the following requirements:
- you are an employee
or House staff member,
- you are scheduled to work at least 20 hours per week, and
- you are
included in a benefit eligible classification.
Medical questionnaires are required
for employees who enroll later than 60 days from their date of hire and for all
dependents. Eligibility to enroll is lost if your employment changes to an
ineligible status. Enrolling in the Plan
Coverage may be purchased by the faculty or staff member, spouse/same sex
spousal equivalent, adult children age 20 and older, parents and
parents-in-law, and grandparents and grandparents-in-law. Enrollment material is available at the
Aetna website or by calling
Aetna's customer service line at 1(800)287-9145 Monday through Friday from 8
a.m. to 8 p.m.
When Coverage Begins
Coverage begins for employees on the first day of the month following the
date Aetna receives the completed enrollment form if all of the following
conditions are met:
- the enrollee meets all eligibility requirements,
- the enrollee is actively at work
on the date coverage is to become effective, and
- the enrollment form is received by Aetna within 60 days of the employee's
date of hire.
Employee late applicants, and other eligible family members are required to
complete a medical questionnaire which must be approved by Aetna. If the premium will
be payroll deducted and the enrollment is approved after the cutoff date for
Duke University's monthly payroll deductions, the effective date will be moved
forward one month.
Leaving Duke
Once enrolled, you may continue the insurance by paying the premium for the
coverage while you are on an unpaid leave of absence, sabbatical, or lay off
status. You may also continue the insurance at retirement or termination by
paying the premiums directly to Aetna.
When Coverage Ends
Coverage may be lost for failing to pay the premium. Additional circumstances
which may result in your ineligibility for benefits or loss of coverage under
the plan are outlined in the certificate of insurance issued by Aetna. Cost of the Plan
Participants pay the entire premium.
Employee participants are payroll-deducted for themselves and their
spouses/same-sex spousal equivalents. All other participant are billed directly
by Aetna. The amount is determined by the insurance company. |
