Eligibility
Eligible Employees
You may enroll in the Pyramid Healthcare Benefits Program if:
- Full-Time: employment in a regularly scheduled capacity for at least 40 hours per week or 100% of the normal work
- Part-Time Benefits Eligible: if an employee works at least an average of 30 hours a week, they are considered full-time and employers must offer health insurance to them under the law.
If you are new to Pyramid Healthcare, you will be eligible for benefits on the first day of the month following 60 days of employment.
Eligible Dependents
If you are eligible for our benefits, then your dependents are too. In general, eligible dependents include your spouse and dependent children up to age 26. If your child is mentally or physically disabled, coverage may continue beyond age 26 once proof of the ongoing disability is provided.
Open Enrollment is June 9th - 20th, 2025
This is your once-a-year opportunity to pick your plans or make changes to your existing coverage. The choices you make during Open Enrollment will become effective on August 1, 2025 and remain in effect through July 31, 2025.
Certain life events provide you a 30-day window to elect benefits or change your covered dependents. Please visit the Qualifying Life Event section down below for more details.
Open Enrollment Benefit Guide – 2025
On-Demand Benefits Presentation Video
Open Enrollment PowerPoint Presentation
Open Enrollment FAQS
Open Enrollment Poster with QR Code
Open Enrollment Flyer with rates
New Employees
Newly hired employees and dependents will be effective in Pyramid Healthcare’s benefits programs on the first day of the month following 60 days of employment. All elections are in effect for the entire plan year and can only be changed during Open Enrollment unless you experience a Qualifying Life Event.
Qualifying Life Event
Certain life events provide you a 30-day window to elect benefits or change your covered dependents.
What is a Qualifying Life Event? If you experience any of the scenarios below, you may be eligible to update your benefit elections mid-year:
- Marriage, divorce, or legal separation
- Birth or adoption of a child
- Commencement or termination of adoption proceedings
- Change in child’s dependent status
- Death of a dependent
- Loss or gain of other health coverage for you and/or dependents
- Change in employment status
- Change in Medicaid/Medicare eligibility for you or a dependent
- Receipt of a Qualified Medical Child Support Order
Remember, dependent verification will be required.
If such a change occurs, you must make the changes to your benefits within 30 days of the event date. Documentation may be required to verify your change of status. Failure to request a change of status within 30 days of the event may result in your having to wait until the next open enrollment period to make your change.
If you have questions about your eligibility or enrollment process, please contact HR.
