Full-Time

Caregivers and Clinicians

Welcome to Your Benefits

We are committed to offering comprehensive benefits designed to help you and your family stay healthy, provide financial protection in the event of unexpected circumstances, and build long-term security for retirement.

You know your family, goals, and lifestyle best, so getting the most from your benefits is in your hands. This benefits website serves as your guide, answering common questions and making it easy to understand all the options available to you. Take a few minutes to review it carefully before completing your enrollment.

If you have any questions along the way, we’re here to help. You can reach out to benefits@bayada.com, or call 877-318-1764, option 1 for benefits.

Eligibility

New-Hire Eligibility

You will be able to obtain one of four of BAYADA’s Minimum Essential Coverage plans shortly after hire. Following 60 days of employment, you will also be offered BAYADA’s group health insurance benefits. Group benefits become effective on the 90th day after hire. Spouses and dependent children of the employee are also eligible to participate in our benefit plans for all employees.

Benefit Eligibility

You and your eligible family members may participate in the employee benefits program outlined in this guide if you meet the following requirements:

  • Home Health Caregiver and Clinician regularly scheduled to work a minimum of 25 hours or 20 points per week*.
  • Caregiver and Clinician in all other practices regularly scheduled to work a minimum of 30 hours or 25 points per week*.

To maintain coverage, you must continue to work your minimum required hours per week over a 3-month measurement period.

Dependent Eligibility

  • For major medical coverage only: your legal spouse, domestic partner or civil union partner who does not qualify for their employer sponsored minimum essential and minimum value medical coverage
  • All other coverage: 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
  • Unmarried children of any age who are totally disabled may continue coverage if they are claimed as a dependent on your federal income tax return. Documentation of the child’s handicapped or disabled status must be provided. Please contact Aetna at 1-800-922-5863 to confirm eligibility.

Dependent Verification

To ensure that only eligible dependents are enrolled in our Aetna 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
  • Birth certificate

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.

  1. Go to the Veriti1 Portal link provided in your email notification and select the register now button. Answer the following questions to register as a new user.
  2. Once registered, use the User-ID (located at the top, right hand corner of your letter), your email address, and password you created when you registered.
  3. Verify the data for each dependent and select the documents you will submit for verification.
  4. Upload or drag and drop the files into the system (documents must be uploaded for each dependent individually).
  5. Within three business days, you will be sent an email regarding the review of the documents submitted and the status of your dependent.

If your dependent does not meet the eligibility rules, please log into the Verifi1 portal and voluntarily request that the dependent(s) be removed.

**Coverage for enrolled children terminates when the child reaches age 26. Coverage will end on the last day of the month in which the child turns 26. You are required to notify BAYADA Benefits at benefits@bayada.com, or calling 877-318-1764, option 1 for at least 30 days before your dependent’s 26th birthday to ensure proper administration of benefits.

Qualifying Life Event

Your benefits elections are generally fixed for the plan year. However, you may be eligible to make changes mid-plan year outside of Open Enrollment if you experience a Qualified Life Event (QLE).

Common qualifying events include:

  • Change in the number of your dependents (through birth, adoption, or if a child is no longer an eligible dependent)
  • Change in spouse’s employment status (resulting in a loss or gain of coverage)
  • Change in legal marital status (marriage, divorce, or legal separation)
  • Change in employment status from full-time to part-time or part-time to full-time, resulting in a gain or loss of coverage
  • Gain or loss of coverage through the Marketplace
  • Gain or loss of Medicare or Medicaid
  • A court order to provide health coverage for your eligible dependent (QMSCO)

Some lesser-known qualifying events are:

  • Turning 26 and losing coverage through a parent’s plan
  • Death in the family (leading to change in dependents or loss of coverage)
  • Changes that make you no longer eligible for Medicaid or the Children’s Health Insurance Program (CHIP)

IMPORTANT

If you need to make a change before the next Open Enrollment period due to a change in status, contact a Benefits Counselor at 877-318-1764 or email benefits@bayada.com. You can also login to Workday to process a Qualifying Life Event.

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