Medical Insurance Options
The following medical plans are available to faculty, staff (including those represented by Allied International Union)*, and AAPs.
To learn more about a plan, click on the plan name.
• United Healthcare Choice Plus
• CareFirst BlueChoice Opt-Out Plus Open Access
• Kaiser Signature HMO
Employee Eligibility
You are eligible to enroll in a Georgetown University sponsored medical plan if you are:
- A staff employee, including members of the Allied International Union, hired to work 30 or more hours per week;
- An academic employee hired to work at least 75% time;
- A fellow.
Dependent Eligility
If you are covered under a medical plan, you may also elect coverage for your spouse/LDA and your eligible dependent children. You will select from one of the following levels of coverage:
- Employee only
- Employee and spouse/LDA
- Employee and child/ren
- Family (employee, spouse/LDA and child/ren)
Spouse/Legally Domiciled Adult (LDA)
For medical, dental and vision coverage only, instead of covering a spouse, you may cover another qualified adult member of your household. A qualified adult member of your household is a LDA if he/she is an individual over age 18 who has for at least 6 months lived in the same principal residence as you, remains a member of your household throughout the coverage period, and who:
-EITHER has a close personal relationship with you (not a casual roommate or tenant), shares basic living expenses and is financially interdependent with you, is neither legally married to anyone else nor legally related to you by blood in any way that would prohibit marriage, and is neither receiving benefits from an employer nor eligible for any group coverage.
-OR your blood relative who meets the definition of your tax dependent as defined by Section 152 of the Internal Revenue Code during the coverage period and is neither receiving benefits from an employer nor eligible for any other group coverage.
In no event may you have medical coverage for both a spouse and a LDA.
There may be tax and other legal implications for those who elect coverage for a LDA. You are encouraged to consult with an attorney before electing LDA coverage.
Children
Dependent children include your natural children, legally adopted children, children for whom you are the legal guardian, stepchildren who are dependent on you for support, and children for whom you are the proposed adoptive parent from the date of placement.
Your unmarried dependent children are eligible until age age 26, regardless of whether or not they are full-time college students through Kaiser Permanente; or unil age 19, if unmarried, or until age 30 if full-time college students through United Healthcare and CareFirst BlueChoice
How to Enroll
To learn more about how to enroll, or how to make changes to your coverage, click on one of the links below:
Newly eligible employees
Open enrollment
Making changes during the year
* Please note: Georgetown employees represented by 1199 SEIU have distinctly different medical plan options than other Georgetown employees.
Have Questions? Check out the Frequently Asked Questons (FAQs) section, call the Office of Faculty and Staff Benefits at 202-687-2500, or email benefitshelp@georgetown.edu.
