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GatorGradCare

GatorGradCare health insurance is available exclusively to Graduate Assistants, Teaching Assistants, and Research Assistants on appointment (.25 FTE or greater) at the University of Florida.

General Information

Plan information can be found on GatorCare’s GatorGradCare page.

Medical Benefits Administration – Florida Blue
Pharmacy Benefits – Magellan Pharmacy Solutions
Plan Name: – GatorGradCare
Group Number – 78358
Dental BenefitsPDF

Participant Eligibility Requirements

University of Florida graduate assistants, teaching assistants, and research assistants appointed .25 FTE or greater may participate in the GatorGradCare health insurance plan.

Hiring departments must ensure the following:

  • The GA, TA, or RA appointment must occur via the Letter of Appointment (LOA) process in PeopleSoft, and all Letter of Appointment criteria met
  • Active GA, TA or RA job with .25 or greater FTE entered in PeopleSoft
  • The GA receives a stipend as a bi-weekly paycheck from the appropriate UF account
  • The correct work county location is entered in PeopleSoft job data

Enrollment

Enrollment is not automatic; graduate assistants may enroll in GatorGradCare within 60 days of hire once the GA appointment is entered in the UF PeopleSoft system. The enrollment portal in myUFL will open once the GA job is entered in PeopleSoft.

View instructions for submitting the GatorGradCare enrollment through myUFL.

If there is a delay in GA job entry and the hire is completed in PeopleSoft after the 60 day enrollment period has ended, the GA should contact GA Benefits for assistance with enrollment.  

Effective and Termination Dates

GatorGradCare coverage for newly hired GAs is retroactive to the date of hire. Enrollment must be completed within 60 days of hire.

GatorGradCare coverage terminates at the end of the month in which the GA job terminates. Coverage termination dates may be adjusted in the following cases:

  • Participant gains coverage through another UF-sponsored health insurance plan–GatorGradCare coverage termination date may be adjusted to coordinate with the effective date of the new or reactivated UF-sponsored plan.
  • Participant gains group health insurance under an employer or government subsidized health plan–GatorGradCare may be terminated at the end of the month following qualifying event date. Required documentation and paperwork must be submitted within 60 days of the event.

ID Cards

ID cards are mailed to your local home mailing address and arrive about 2 weeks after coverage is loaded with Florida Blue. Please note the following:

  • Florida Blue does not issue separate ID cards for dependents covered under your insurance plan. You will receive two ID cards in your name and dependents will use your insurance card information. Medical providers and pharmacies are able to confirm the dependent coverage using the ID card.
  • You may order additional cards or print a temporary card after you create an online account at www.floridablue.com. Information regarding creating your online account is found below.

Creating Your Online Account with Florida Blue

Plan participants may view claims details, order additional ID cards, and print temporary ID cards online at www.floridablue.com by logging in to MyBlueService after creating an online account.

Participants must have their member ID number to create the Florida Blue online account. The member ID will be available through Florida Blue Customer Service once the coverage is processed. Florida Blue Customer Service can be reached by calling (800) 664-5295.

Costs

The cost of individual (employee only) coverage is $10 monthly per the Collective Bargaining Agreement between UF Board of Trustees and the Graduate Assistants United (GAU). This premium (cost of insurance) is collected through bi-weekly payroll deductions.

UF pays the balance of the employee-only GatorGradCare annual premium on the GA’s behalf. Departments should use the appropriate Fringe Benefit Pool Rate to budget for GA benefits costs.

Employee and dependent premiums are collected through bi-weekly payroll deductions as noted below.

2019-2020 GatorGradCare Premiums (effective 8/16/19 to 12/31/20)*

Monthly Rate Bi-Weekly Payroll Deduction Amount
Employee Only $10.00 $5.00
Employee + Spouse/Partner $206.86 $103.43
Employee + Child(ren) $188.42 $94.21
Employee + Family (Spouse/Partner + Child(ren) $385.66 $192.83

*Plan participants are responsible for premiums due for the period GatorGradCare coverage is in effect. Missed premium deductions are collected on future paychecks. Double deductions are taken in spring for active 9-month GAs to pay for coverage while on short work break in summer.

Dependent Coverage

Eligible dependents include the graduate assistant’s spouse or domestic partner and dependent child(ren) up to 26 years of age. Dependent documentation (birth certificate, marriage certificate, etc.) may be requested by the GA Benefits Office. Failure to submit requested documentation may result in termination of dependent coverage.

Enrollees may elect dependent coverage at the time of enrollment. Once the enrollment is submitted, changes to dependent coverage level can be made only within 60 days of a qualifying event or during the annual open enrollment period. Please see the information in the sections below for additional information.

Qualifying Status Changes

If you have a Qualifying Status Change (QSC) event that results in a gain or loss of eligibility for coverage, you have 60 days from the date of the event to make changes to your benefits. Supporting documentation for the qualifying event is required and must be submitted to the GA Benefits Office.

Examples of qualifying events include the following changes in family or employment status: birth, adoption, or legal guardianship; marriage or divorce; involuntary gain or loss of other eligibility for other group health insurance coverage.

If adding dependent coverage or enrolling in plan coverage based on a QSC, the coverage is effective on the qualifying event date. If removing dependent coverage or terminating coverage based on a QSC, the change to the coverage level is effective on the first of the month following the qualifying event date.

Qualifying status change events should be reported to the GA Benefits Office by emailing gabenefits@admin.ufl.edu.

Open Enrollment

Held in the fall, open enrollment is an annual opportunity to add, change, or remove enrollment elections for the next year. Elections made during OE are effective on January 1st of the following year. Outside the annual OE period, GatorGradCare participants may only make changes to their benefits elections within 60 days of a qualifying status change event.

Plan Network Providers

GatorGradCare participants in the Gainesville area may contact the Student Health Care Center for routine, non-emergency medical and pharmacy services.  Each UF student is assigned a health team that provides care. To find your team or make an appointment, visit the SHCC website at shcc.ufl.edu or call (352) 392-1161.

To locate other GatorCare plan network providers, visit http://gatorcare.org/network or call Florida Blue Customer Service at (800) 664-5295.

Mandatory Health Insurance (MHI) Information

If you are eligible and enroll in GatorGradCare, this coverage meets the UF mandatory health insurance requirement. You do not need to do anything else after submitting the GatorGradCare enrollment and agreeing to the mandatory health insurance requirement policy through your student account.

Because of the timing, you will see the charge for the school-sponsored plan on your student financial account until you have submitted the GatorGradCare enrollment through myUFL. You should not pay this charge or complete the MHI waiver because the MHI charge will be removed automatically once your GatorGradCare is processed.

Address Changes

Promptly notify the GA Benefits Office of any changes to your mailing address by emailing gabenefits@admin.ufl.edu, or by completing this form.

COBRA—Continuation of Coverage After Termination

GatorGradCare terminates at the end of the month in which the GA job terminates. COBRA (Consolidated Omnibus Budget Reconciliation Act) is a federally mandated program that allows continuation of the medical benefit, at your expense, based on specific events such as termination of employment.

Florida Blue will send a COBRA enrollment offer packet by postal mail to the address on file after the GGC termination is processed. The Florida Blue GatorGradCare COBRA administration team can be reached by emailing ContinuationOfCoverage@bcbsfl.com or by calling 855-509-1678.

Pre-doc Fellows

To participate in active GatorGradCare coverage, pre-doc fellows must be appointed as a GA/TA/RA with an FTE of .25 or greater.  Students appointed exclusively as pre-doc fellows (no GA/TA/RA or GA/TA/RA with FTE less than .25) may participate in the United HealthCare student health insurance plan.

Active GatorGradCare participants who terminate their GA/TA/RA appointment due to a transfer to a new pre-doc fellowship appointment may elect GatorGradCare COBRA coverage based on the termination of their GA appointment. The University of Florida or applicable funding source pays for individual/single coverage for the duration of the pre-doc fellowship appointment, provided the pre-doc fellow appointment is entered in the UF PeopleSoft system and the student receives a stipend bi-weekly through the UF payroll system. To elect this option, the pre-doc fellow must contact the GA Benefits Office within 60 days of their GA job termination. COBRA enrollment is not automatic and enrollment must be completed by the COBRA election deadline.

Contact Information

Plan coverage or claims

Florida Blue Customer Service (800) 664-5295
Kelly Maloney (352) 594-3354 Kelly.Maloney@bcbsfl.com
Kelley Thomas (904) 244-9130 Kelley.Thomas@bcbsfl.com

Enrollment, eligibility, qualifying status changes, or mailing address updates

GA Benefits Office (352) 392-0003  gabenefits@admin.ufl.edu