Eligibility and Enrollment

Rules and Definitions

Who is eligible for State of Colorado benefits?

Important to note: You’ll need to provide proof of eligibility for any new dependent you add to your coverage. The State may conduct a dependent eligibility audit at any time. 

Currently, temporary employees and seasonal employees are not eligible for benefits.

Examples of persons NOT eligible for coverage as a dependent:
  • Ex-spouse
  • Live-in boyfriends or girlfriends
  • Parents or parents-in-law
  • Grandchildren (unless employee is the court-appointed legal guardian or custody)
  • Adults under guardianship of employee
  • Dependents older than the end of the month in which they turned 26 that are not disabled
  • Any other members of your household who do not meet the definition of an eligible dependent

Qualifying Life Events

Some QLE’s include the following (applies to pre-tax elections only*):

  • Marriage, divorce, or legal separation
  • Birth or adoption of a child
  • Death of a dependent 
  • Loss or gain of other health coverage for you and/or dependents
  • Change in Medicaid/Medicare eligibility for you or a dependent (deadline is extended from 31 days to 60 for this QLE only)

*You will still need a Qualifying Life Event to commence participation even with post-tax elections.

Qualifying Life Event Guide 2021

When you can enroll or make changes:

  • Within 31 days of your hire date
  • During the annual open enrollment period that takes place in the Spring
  • Within 31 days of a Qualifying Life Event

For questions, please contact your agency's Benefit Administrator