Opting into medical insurance includes the following forms of coverage:
- Medical (with Medical Mutual)
- Prescription (with CVS Health)
- Dental (with Delta Dental)
- Vision (with EyeMed)
Relevant Forms
|
Form |
What is it? |
Is it required? |
Due Date |
|---|---|---|---|
|
Use the Portal Instructions to set up your Benefits portal. From there, select/enroll in your medical (which includes prescription and vision coverage) and dental insurance. |
YES |
31 Days after your hire date |
|
|
Use this form if you would like to opt out of insurance provided by Kent State. Note, you will need to provide evidence of alternative coverage. |
Optional |
31 Days after your hire date |
|
|
Domestic Partner Affidavit (PDF) and supplemental documentation (if applicable) |
If you have a domestic partnership and would like to cover your partner, use this form and guidelines. |
Optional |
31 Days after your hire date |
|
This is an acknowledgment that if you leave the university, COBRA information will automatically be offered to you. This form does not automatically sign you up for COBRA. |
YES |
31 Days after your hire date |