New Hire Enrollment

You are automatically enrolled in a Single coverage under the default HMO plan (Kaiser) and the Cigna Dental DHMO. You will receive an email from our Eligibility Enrollment team to the email you provided at orientation and your work email. If you want to switch to a different plan or add a spouse and dependents, you must complete an enrollment form and provide the supporting documents.

Waiver of Coverage (Opt-Out)

If you have other medical and dental coverage and choose to decline coverage under TEHW, complete the Opt-Out form, and provide a copy of your insurance ID card (front and back) and your WMATA ID. You can opt-out of medical coverage when you are first hired. After that, you can elect to opt-out only during the Open Enrollment period each year. You must provide proof of other coverage during each subsequent open enrollment period; otherwise, you will be re-enrolled in the last plan you selected or the default plan in which you never made an election.

Please note: Chip & State Medicaid health insurances are not eligible for the MONETARY compensation according to the Terms of the Collective Bargaining Agreement and IRS code Section 125.

Spousal Credit

If you have a spouse, your spouse can opt-out of coverage under the Transit Health & Welfare Plan. Complete the Spousal Credit form (and provide a copy of your marriage certificate & spouse insurance ID card). You will receive a monthly credit toward your contribution for Transit Coverage. The credit will be up to $100, but no more than your monthly contribution toward the coverage.

For a family that consists of the employee, spouse, and one or more children, the spousal credit would not eliminate the contribution for family coverage ($208). Still, it would reduce the $208 contribution to $108 (the maximum credit of $100 per month).

Dual Eligibility

If one Participant in this Plan is married to another Participant, one of the Participants must carry family coverage, and the other will be dependent on that Participant’s plan. A spouse or adult child employed by METRO and enrolled as a dependent on the plan of another METRO employee is NOT eligible for opt-out or spousal credit.