Using data from this year, the maximum possible benefit would go up from $650 a week to $860. Once a VP is approved, the employer is no longer required to send SDI withholdings to the EDD. When an employer requires contributions from employees under the VP, the employer must place those contributions in a separate account to pay claims and approved expenses. But if you receive between $2,084 and $2,833 per month, counting all income, or between $2,667 and $3,666 if you’re married, then half of your Social Security disability benefits will be taxed.
Short-term disability policies are private policies that you can buy for your employees. Short-term disability insurance is designed to provide income to employees who become disabled due to sickness or an accident and are unable to work after an initial waiting period . Short-term benefits are usually expressed in terms of the maximum number of weeks that the plan will pay . Government statistics show that these benefits typically replace about 50 percent to 67 percent of an employee’s income.
Benefits are obtainable through an employer or by individual purchase directly from an insurance company. When this type of coverage is offered through an employer, the terms of the policy are rarely explained to covered employees, but crucial to the approval of a disability claim. Having this information may help to avoid needing to sue an insurance company for benefits wrongly denied. To have a valid 4 claim, the claimant must have been paid a minimum amount of wages while in a job covered by New Jersey’s disability insurance program during the base period of the claim.
However, this number can vary depending on a number of factors, such as recurrent debt payments and monthly living expenses. TheMetLife Disability Calculatoris another handy resource you can use to estimate the amount of disability insurance income you would need to help maintain your current standard of living. Let’s just say the Hawaiian luau shirt he chose may not have been his best choice for his first meeting. Through our massive carrier connections we could – and still can, to this day – provide lower premiums and better service than state plans.
What Companies Offer Disability Insurance?
Recurrent Disability Periods of disability separated by 2 weeks or less of active work will be treated as the same disability. Auxiliary aids and services are available upon request to individuals with disabilities. Take the form to the physician or advanced practice registered nurse to have disability certified on Part C, Doctor’s Statement.
For this reason, you should consult your employer to find out its maternity leave policy. If it does not support maternity leave or only provides a few weeks’ worth of full salary, then purchasing a short-term disability plan would be the best option. Generally, for losses of health insurance due to leaves of absence, you will be entitled to 18 months of continued COBRA coverage.
Searching for individual short-term disability policies can seem challenging, as most companies don’t list their terms and conditions defining their policies; instead, they want you to contact their agents directly. Aflac instantly grabbed our attention for their policy transparency and more robust, customizable benefit offerings, which is why they took our top spot. Material discussed is meant for general informational purposes only and is not to be construed as tax, legal, investment, or medical advice. Although the information has been gathered from sources believed to be reliable, please note that individual situations can vary. Therefore, the information should be relied upon only when coordinated with individual professional advice.
When Coverage Begins
Your payroll office cannot accumulate health benefits forms for longer than one week. Your enrollment and coverage continue without change when you transfer from one payroll office to another without a break in service of more than 3 days. Your employing office will promptly take action to transfer your enrollment.
HireNet is the state’s official job placement program administered by the Hawaii’s Department of Labor and Industrial Relations. If you do not have Internet connection, go to your local claims office to use the computer kiosks or visit any public library and request to use their Internet computers to access the UI claims filing website. If you are declared invalid, you can request a reconsideration of the determination and provide appropriate documentation to substantiate your claim. If you are in another state, Washington D.C., Puerto Rico, the Virgin Islands, or Canada, file your application online. If you do not have Internet access or need assistance, go to your local claims office to use the computer kiosks or ask for help. You knowingly make false statements about your claim or your work situation.
Update your current company leave policies/employee handbooks and make any needed updates to reflect the updated HI state mandated benefit provisions. A private insurance planpurchased from an authorized TDI insurance carrier, such as Guardian, that provides benefits in compliance with TDI Law. Virtual Advisors may provide investment advisory services that are limited in scope and do not constitute comprehensive financial planning.
In these 5 states, far more people are eligible to file a claim because of the requirement that nearly everyone enrolls. However, people working in one of the 45 states without a program will not qualify. Therefore, the first step is figuring out whether you have coverage. You may be eligible under a private policy, a state plan covering temporary disabilities, Social Security addressing permanent conditions, or Worker’s Compensation dealing with on-the-job incidents. You typically must work directly with the government to qualify for your program or benefits.
Applications can be submitted online or mailed, and must be filled out by the individual, physician and employer. Individuals may be approved to receive DI benefits for up to 45 days if living in an approved drug or alcohol rehabilitation facility. An additional 45 days of DI benefits may be awarded if the individual continues to live there and the health care professional continues to re-certify.
When an applicant is approved for benefits, a DDS medical examiner or an administrative law judge will give the applicant an established onset date . The EOD is the date the SSA considers as the date the disability actually began and will be the date used to calculate the back-due benefits. Once the AIME has been determined, the SSA will calculate the Primary Insurance Amount . The PIA is actually the base retirement benefits an individual would receive if they retire at the normal retirement age. However, the SSA views an applicant’s request for disability benefits as early retirement since they can no longer work due to their disabling condition. As a result, they will use the PIA when determining the amount of benefits one would receive.
Hawaii Ssdi Hearing Wait Times & Approval By Office
On the other hand, short-term disability insurance does provide paid coverage if you need to take leave due to an injury or illness. The exact financial coverage and benefit period that your short-term disability coverage will offer depends on the exact policy you purchase. Individuals in New York may be eligible for temporary disability benefits when they’re sick or injured off the job. The program acts as a partial wage replacement program and isn’t meant to completely replace wages. Most employers with more than one employee in the state are required to carry it. Like Disability Insurance, workers may be eligible for PFL if they suffer wage loss when they take time off to care for a sick family member or bond with a new child.
A Department of Labor opinion letter is an official, written opinion on how a particular law applies in specific circumstances presented by the person or entity requesting the letter. The employer describes its own unique situation and asks for an official comment on the employer’s interpretation of the law. If the DOL chooses address the question, it issues an opinion letter, stating whether the employer’s interpretation of the law is consistent with the department’s. Higher Education employees should contact your agency benefits coordinator/HR representative at your institution for more information on Long Term Disability Insurance available to you. You must use all of your Accrued Leave (Sick, Annual and Compensatory time) before your disability payments begin. Auxiliary aids and services are available upon request to assist individuals with disabilities.
There are quite a few companies that provide their employees with this type of insurance as part of their employee benefits package. There are also some people who purchase this insurance on their own, separate from their employment if not offered by their employers. An employer is allowed, but not required, to collect contributions from its employees to offset the cost of providing benefits. An employee’s contribution is computed at the rate of 0.5 percent of his or her wages, but no more than 60 cents per week. Enter into a collective bargaining agreement that contains sick leave benefits at least as favorable as required by the disability benefits law. To qualify for the maximum weekly benefit amount ($1,252) an individual must earn at least $27,126.67 in a calendar quarter during his or her base period.
For many people, still getting paid even if they can’t work because they are hurt or sick is worth it. The Council for Disability Awareness says that 25% of all people age 20 and older will need time off work for being sick or hurt for 90 or more days by the time they reach age 67. The company’s DInamic Fundamental policy provides low-cost insurance for workers who work 30+ hours a week in low-risk jobs. You can get a quote online, but it’s still a good idea to speak with an agent to explore your options. “Typically, a benefit begins after 0, 7 or 14 days of being declared unable to work. Make sure your family is prepared to cover household expenses for those exclusion periods,” she says.
The underwriting for short term disability insurance may differ slightly from long term disability policies. Your short term disability insurance policy will likely include coverage exclusions. In addition to injuries and illnesses that limit your ability to work, surgical long term disability insurance rate procedures that are deemed medically necessary will qualify you for short term disability benefits. Some policies will provide benefits for bariatric weight-loss surgeries. Before short term disability benefits kick in, there is typically an elimination period of 14 days.
That means they might arrive on a schedule different from the payroll timing you’re used to (so you shouldn’t expect a deposit on your standard payday). California has a short-term disability insurance program that provides up to a year of benefits. Employees are only eligible if they earned $300 in the previous year . Benefits are 55% of the employees normal wages during the year before they apply for SDI benefits.
Most individual disability policies sold are for long-term coverage, although some companies also offer short-term policies. Short-term disability for pregnancy is the primary form of maternity leave pay because Illinois does not have a paid family leave program. However, women must purchase a policy from a private company before she conceives.
But the process typically begins with a relatively straightforward claim form that requires some information from you , your employer , and validation from your doctor that your condition prevents you from working. “Consult with your doctor and find out what you’re up against first. Make sure you speak honestly about your symptoms and the things that you are experiencing. That medical record will be reviewed by an insurance company, so start out with a strong pronouncement of, ‘Hey, I’m having this problem,’” advises McDonald. Instead, they offer a percentage of compensation (usually 50% to 60% of your weekly earnings) with a dollar amount cap. What if things are really serious and you’re not looking at a few weeks or even months away from the job—but much longer?
Our resource center has answers to common questions and information about our company. Our income protection insurance calculator makes it easy to figure out whether you’re well-covered or you have a gap in coverage. The Standard uses InVerify to provide income and employment verifications. Are you considering Kaiser Permanente Insurance for your health care needs? Read this in depth review on Kaiser Permanente and get a custom quote.
Learn how a Sidecar Health payment card can help you save up to 40% on healthcare costs. Benzinga explains how international students in the US can protect themselves with health insurance. Do you think Blue Cross Blue Shield might be the health insurance provider for you in 2021? Learn more here and get custom quotes in seconds that will fit all of your healthcare needs. All of these are common conditions, which are why it’s essential to have disability insurance.
Others may only require the answering of questions about your health without the medical exam required for long term disability insurance. If you qualify for short term disability benefits, you will typically be reimbursed for about 60 percent of your lost wages. Depending on the policy, the benefit may be as low as 40 percent or as high as 70 percent. A few states do have programs granting employees short-term disability benefits when they can’t work, but only on a temporary basis.
Chapter 45 of Title 29 of the laws of Puerto Rico provide for two types of benefits based on disability under this plan. While an employee’s job is protected under the FMLA, employees will not receive any wages while using FMLA leave. To use FMLA leave, an employee must be personally eligible and you must be an FMLA-covered employer. If you don’t offer an STD plan, employees can purchase the insurance elsewhere. When your employees are sick, injured, pregnant, or need to care for a family member, they might want to take a leave from work.
However, if a claimant disagrees with a demand for refund of disability benefits, he/she must do so in writing within 24 days of the date of mailing or within 20 days of receipt of such demand for refund. If the appeal is not filed within the required time limits, an explanation of the reason for the delay must be provided. The appeal period will be extended only if good cause for filing late is shown. Good cause exists when it can be shown that the delay was due to circumstances beyond the appellant’s control, which could not have been reasonably foreseen or prevented. However, if disability benefits are paid or payable under the disability benefits law of another state, or under the federal maritime law, a claimant may still be eligible for New Jersey benefits.
- With Sun Life, disabled employees receive income protection and the vocational and clinical support to move forward with their lives.Through interdisciplinary best practices.
- New York requires most employers to offer short-term disability benefits through its disability benefits law.
- With group disability insurance, you can prepare today to better protect tomorrow.
- Know how and when you will be paid.You will receive your first check during your third week of unemployment.
Farrell Disability Law helps clients throughout Florida and South Georgia fight wrongful denials of disability benefits. Once an individual has decided to apply for the SDI program, they must complete either the paper form or the online application. After the application has been turned in, applicants are required to complete a weeklong waiting period before benefits can be received. It is also important to note that an individual may be deemed ineligible for SDI benefits if they had less than $300 in wages that were subjected to the standard SDI contribution procedure. Workers’ compensation is also provided at no cost to you by your employer because it is required for most employers by law.
Sun Life Financial to Offer Temporary Disability Insurance in Hawaii: Called temporary disability insurance (or TD… http://bit.ly/cxpJZ7
— Neil Frost (@life_insured) May 25, 2010
Many women also use these policies to receive a portion of their income while on maternity leave. Some policies may help cover your income for as little as six weeks, while others may cover you for up to a year. While away, you could apply unused paid time off , vacation time and/or sick days to receive pay while out depending on your employer’s policy, but usually this time off is not paid. Some states offer paid family and medical leave, so check your state’s regulations carefully.
The employee may be informed of the details or ask questions at any time by contacting the Human Resources Department, an assigned official or a benefits administration office, if applicable. But it doesn’t mean you have to lose health coverage for yourself or your family. Your carrier is required to use your Social Security number to reconcile enrollments. Social Security numbers must be clearly shown on any Health Benefits Election forms and Notice of Change in Health Benefits Enrollment forms processed and forwarded to the carriers.
While we have many attorneys on our staff, we are not a law firm and do not provide legal service or represent claimants in an attorney-client relationship in this process. Everyone’s experience applying for Social Security Disability benefits will be unique. Part of this is because everyone’s individual medical and work history is different. Nothing can feel more stressful than worrying about money while you are injured or ill.
The worker contribution rate for TDB is 0.17% in 2019, a decrease from the 2018 rate of 0.19%. The 2019 FLI contribution rate of 0.08% has decreased from the 2018 rate of 0.09%. The 2019 maximum weekly benefit for each program is $650, up from $637 in 2018. The State Disability Insurance taxable wage base is $118,371 in 2019, an increase from $114,967 in 2018. The employee contribution rate, which includes Paid Family Leave, will remain at 1% in 2019. The 2019 maximum weekly benefit of $1,252 has increased from the 2018 maximum of $1,216.
Such coverage must be extended to all employees whose employment is covered by the Unemployment Compensation Law. An election must remain in effect for at least two full calendar years. It may be terminated as of January 1 of any year thereafter by filing written notice with the Division of Employer Accounts at least 30 days prior to the termination date. Most business owners can’t afford to continue paying employees if they are unable to work while they are injured.
The amount received through Social Security payments may also reduce disability benefit payments. TANF and TAONF provide monthly cash benefits to families for food, clothing, shelter, and other essentials. To qualify for this assistance, a family must include children under the age of 19 and earn a total gross income under 185% of the 2006 Federal Poverty Level . For a household of three persons, this means the monthly gross income must be less than $2,941 and the net income must be under $610, if the household includes an employable adult. For households where all adults are disabled, care is required for a disabled household member, or there is a child younger than six months of age, the net income must be under $763 per month. Effective April 18, 2013, assets are disregarded under the TANF/TAONF program.
Disability coverage that replaces at least 60 percent of your after-tax income is generally recommended. Watch how MetLife helped Lolet, a young wife and mother, replace lost income during a complicated pregnancy. For complete plan details, talk to your company’s benefits administrator. The short application process allows you to get the coverage you need faster than ever.
You worked for pay even one day during the time period you claim you are disabled. All terms of coverage, including benefits, eligibility, coverage limitations and exclusions under Guardian’s Hawaii Temporary Disability Insurance plan will comply with HI TDI law and regulations. Any optional riders and/or features which may be available may incur additional costs. Our management of PFML plans helps ensure that any Human Resources team can meet the challenge of efficiently managing employee leaves while easing administrative burden and enhancing compliance. Consult with your payroll department and/or payroll vendor to confirm it is prepared to update its payroll system to properly administer the appropriate payroll deductions for TDI coverage.
For cost and complete details of the coverage, call or write your insurance agent or USAble Life. This is a brief description of USAble Life’s Temporary Disability plan coverage. The law requires that a claim be filed within 90 days from the date of disability. If claim filed after 90 days, the employee may lose part of the benefits unless good cause can be shown. If claim filed more then 26 weeks after disability, the employee will not be entitled to any benefits.
Individuals that are injured because of self-infliction or crimes are not eligible for SPDP. SPDP benefits may be reduced if the individual’s most recent employer contributed to a pension that the individual is receiving. PPDPs must provide the same amount of coverage, if not more, than the SPDP. Most claims are processed within 14 days of receipt with the properly completed forms. SDI Online users may login to their accounts to check the status of their claim at any time.
With “any occupation” coverage, your employees have to prove they cannot work any job, not just the one they currently hold. Their insurance company will look at their education and work experience to decide if there’s another job they can reasonably take on. Long-term disability insurance is a benefit that helps your employees cover their finances while they’re recovering from a persistent illness or tough injury. Often used with short-term disability insurance, a long-term policy shows your employees you have their back if an accident, sickness or disability prevents them from working. If disability benefit payments are made by an insurance company, the simple answer is no, benefits will not cease. If disability payments are made by an employer, benefit payments may cease upon the loss of employment in rare situations.
Don’t risk losing your appeal on a technicality or by not having the right information available. Most people think thatlong term disability insurance is for people who have been physically injured in an accident and unable to work as a result of their injury. While this is true, it’s important to know that there are many medical conditions that may entitle you to receive disability payments from your insurer. These include chronic illnesses, neurological disorders, and certain degenerative diseases. Short term health insurance companies base your benefits on your income.
Insurers tend to rate software engineers in their highest occupational class. This means they consider the profession lower risk for disability claims than other vocations. It also means they will pay less for coverage than others with similar underwriting attributes.
The annual price for a long-term disability insurance policy generally ranges from 1% to 3% of your annual income, according to the Council for Disability Awareness. There are two main types of disability insurance — short-term and long-term coverage. Both replace a portion of your monthly base salary up to a cap, such as $10,000, during disability. Some long-term policies pay for additional services, such as training to return to the workforce. Contact the human resources department of your employer to identify the insurance company.
Generally, to be eligible for short-term disability insurance, you must have a policy before you’re diagnosed with a condition that would actually qualify you for coverage. For example, you typically can’t get short-term disability benefits to cover maternity leave if you’re already pregnant. If your state doesn’t have a disability insurance program, then your employer might provide one among its employee benefits for free or at group rates. (Check with your employer’s human resources department or equivalent.) If neither your employer nor state provides disability insurance, then you might consider purchasing it on your own to protect your wages. All of the state disability insurance programs listed above pay maternity disability insurance benefits for pregnancy, childbirth and related disabling medical conditions.
Each payroll office and carrier is required to submit an electronic listing of those enrolled in a FEHB health plan to the NFC on a quarterly basis. The data submitted is to be “as of” March 1, June 1, September 1, or December 1, or as close to those dates as the closest pay period allows. The data is to be submitted in a format designed by NFC and approved by OPM. The social security number is the principal identifying number and must be submitted by all parties. NFC will conduct a computer match of records submitted by payroll offices versus records submitted by carriers and identify discrepancies. These discrepancies are then posted on a secure website known as the Centralized Enrollment Reconciliation Clearinghouse, or CLER for short.
All employers that regularly employ three or more employees are required to carry coverage, unless exempt. Injuries and illnesses covered by workers’ compensation include injuries that arise out of and in the course of employment, and disease that arise out of those injuries. Injuries covered by workers’ compensation include injuries that arise out of of or in the course and scope of employment. Injuries and illnesses covered by workers’ compensation include injuries, mental injuries, and occupational diseases that arise primarily out of and in the course and scope of employment. All employers in the construction business, or the coal mining industry, with one or more employees must carry workers’ compensation coverage.
With long term disability coverage, benefits typically begin 90 days after a disabling event occurs and last for five years. Disability insurance protects your source of income if injury or illness limits your ability to work. Also known as disability income insurance and income protection insurance, it is designed to replace a portion of your monthly earnings while you are disabled. There are various types of disability insurance, such as short term and long term disability insurance, and ways to get coverage, like as an individual and as part of a group.
You may change your medical plan once a year during the “Annual Plan Change Period,”with changes effective January 1. Except during this annual plan change period and some exceptions, you must stay in your medical plan once you have chosen them. If you can’t work things out with your health plan, you can contact the state-designated QUEST Integration Ombudsman in your county. The ombudsman can help if you have problems with your health plan or don’t agree with the health plan. This means you must get dental care from a dentist who sees Medicaid patients.
These include zero days for an accident/sickness or seven, 14, 30, 60, or 90 days. It’s exciting that you’re entering a wonderful new stage in your life. Understanding your finances and knowing how to help protect your income can make this time even better and reduce some of your stress. Contact your employer’s human resources department — ideally well ahead of time so you don’t lose eligibility if you miss a deadline — to learn what you can expect and how best to prepare. The crisis and the way we collectively respond to it will define a generation.
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— Rene Truffaud (@property_insure) May 24, 2010
Employers who do not provide disability coverage in these states may be subjected to fines and penalties. An employee does not have to be permanently disabled to receive benefits, but most plans require individual disability insurance that the employee has to have been a regular, full-time employee for at least a year to be eligible. The employee may no longer be eligible for regular sick pay or short-term disability benefits.
This coverage provides financial support to replace lost income while you take time off to recuperate at home. Some employers don’t pay for disability coverage but offer it as a voluntary benefit. This lets employees buy coverage through the employer’s insurance broker at a group rate. File a short-term disability claim with the insurance company that issued your policy. You cannot apply for benefits through the state because IL does not have a program.
Paid family leave allows partial wage replacement for individuals who are unable to work since while they take care of a spouse, registered domestic partnership, child, parent and other immediate family members. Most states do allow new parents to use the program to bond with their children. There are a wide range of short term disability insurance plans available. Most require that only employees who work full-time hours, such as at least 30 hours per week, have access to the employer’s short term disability insurance group coverage. The employer may also require a certain waiting period from the hire date, such as 90 or 180 days, until the coverage kicks in.
As the name implies, short-term disability income insurance is intended to provide coverage for a brief period of time, usually two years or less. It will replace a percentage of your income, up to the maximum benefit of your policy, once you meet the required waiting period. You can apply for short-term disability benefits from private insurance only if you purchased a policy in advance. In addition, you must meet the waiting period requirement in order to be eligible. Most states allow employers to use a private insurance company or self-insured plan in lieu of paying into the state insurance fund.
Monthly SNAP benefits are now added to an EBT Debit Card that holds all of your benefit money. Food stamps, now called SNAP, is distributed based on income and number of people in a household. Applying for SNAP is easy and there are online calculators to help you determine if you are eligible. Injuries and illnesses covered include injuries and occupational diseases that arise in the course and scope of employment.
The average recommended long-term disability insurance benefit should be between 60% and 80% of your after-tax salary. Individuals receiving SSDI may qualify for Supplemental Security Income if they have limited income and resources. For example, a disabled individual who worked in Social Security covered employment and who has limited income and resources may receive a Social Security disability benefit and a partial SSI benefit . The Social Security Administration, which administers both SSDI and SSI, uses the same definition of disability for adults in each program. SSA will determine whether the applicant is “insured” for Social Security disability benefits.
In addition, workers are excluded if the injury is self inflicted or was received while committing a criminal offense. Employees who work during the period of disability are also excluded from benefits as are workers whose benefits cease due to a work stoppage from a labor dispute. An employer may purchase a plan from an approved carrier for HI TDI. The plan can also be self-funded by the employer. A self-insured employer pays benefits directly to its employees on Disability Leave. The employer must prove its plan is solvent and is able to pay benefits.
Some employees may be excluded from coverage requirements, such as employees of the federal government, certain domestic workers, insurance agents and salespersons paid solely on a commission basis, to name a few. For more details on excluded employment, Refer to sections392-5and392-27of the Hawaii Revised Statues for exclusions and ineligibility for benefits. the standard disability insurance reviews Most every employer is required to provide Temporary Disability Insurance coverage for their employees working within the state of Hawaii. The State does not provide state administered TDI benefits, instead it requires every employer considered to be a covered employer under the TDI Law to provide the benefit coverage in compliance with the law.
All six places, except Rhode Island, allow an employer to opt out of the state plan and to put the employee contributions into a private plan. The plans must meet state requirements regarding coverage, eligibility, contribution amounts, and employee approval. To be eligible for FMLA benefits, an employee must have worked for the State for at least 12 months and worked at least 1,250 hours over the 12-month period immediately preceding the request for leave. When the necessity for family leave is foreseeable, the employee must provide the employer with prior notice of their intended leave. Make sure you carry your QUEST Integration health plan ID card and Medicaid ID card at all times. If your current provider doesn’t accept QUEST Integration health insurance, call your health plan to help you find another doctor or provider.
All carriers use your social security number as your identification number for enrollment purposes. Your social security number must be shown on all enrollment or disenrollment documents. As a Federal employee, you are eligible to elect FEHB coverage, unless your position is excluded by law or regulation. The information provided is not written or intended as specific tax or legal advice. MassMutual, its employees and representatives are not authorized to give tax or legal advice. Individuals are encouraged to seek advice from their own tax or legal counsel.
Rated A++ by AM Best and earning high marks from the other financial rating organizations, the company has been around since 1857. While short-term disability can provide much-needed income over several weeks or months, Stewart says some people may be better served by long-term coverage. “It is imperative an individual or family review any exclusions or preexisting condition clauses of a policy when comparing policy options,” she says.
When the employee claims short term disability insurance benefits for which he or she is eligible, the employer’s third-party administrator processes claims while the employee is disabled. Employees must report changes in health status to the employer as these occur. Employers in Hawaii are required by law to provide temporary disability insurance coverage for eligible employees.