Check coverage rules, waiting periods, and dependent qualification easily. Review multiple benefit categories quickly. Make smarter enrollment decisions with consistent, transparent eligibility guidance.
The form uses a 3-column grid on large screens, 2 columns on medium screens, and 1 column on mobile.
This checker combines a weighted readiness score with direct benefit rules. The score helps compare overall fit, while each benefit still uses pass-or-fail thresholds.
Core Health Rule
Health Eligible = Allowed Status AND Weekly Hours ≥ Health Minimum AND Months of Service ≥ Waiting Period AND Age ≥ Minimum Age AND Salary ≥ Minimum Salary.
Retirement Rule
Retirement Eligible = Allowed Status AND Weekly Hours ≥ 20 AND Months of Service ≥ Retirement Service Requirement AND Age ≥ Retirement Minimum Age.
HSA Rule
HSA Eligible = Health Eligible AND Medical Plan Type = HDHP.
Dependent, tuition, PTO, and wellness checks follow similar threshold logic using worker class, service, hours, plan selection, and family inputs.
| Employee | Status | Hours | Service | Age | Salary | Plan | Likely Result |
|---|---|---|---|---|---|---|---|
| Emma Reed | Full-Time | 40 | 12 months | 34 | $72,000 | HDHP | Broad eligibility across health, retirement, PTO, HSA, and dependent coverage. |
| Jamal Ortiz | Part-Time | 24 | 7 months | 26 | $31,500 | PPO | May qualify for retirement, PTO, and limited health-based plans. |
| Nina Cole | Temporary | 18 | 1 month | 22 | $24,000 | HMO | Likely restricted to wellness access until more rules are met. |
It checks whether an employee meets common benefit thresholds for medical, dental, vision, retirement, PTO, HSA, dependent, tuition, life, and wellness programs.
No. The score is a readiness index. Each benefit still uses its own direct pass-or-fail rule based on hours, service, age, salary, status, and plan type.
A strong overall profile can still miss one mandatory rule. For example, an employee may score well but fail HSA because the selected plan is not HDHP.
Use the employer’s internal salary threshold for core benefits, or keep it at zero if salary does not control eligibility in your policy design.
Yes, if your selected rules allow it. This file treats part-time workers as eligible for some plans when minimum hours and service conditions are satisfied.
Dependent coverage needs three things together: health eligibility, the employer policy must allow dependents, and at least one dependent must be entered.
No. It is a planning and screening tool. Formal eligibility should always be confirmed against plan documents, carrier rules, payroll policy, and local regulations.
Use CSV for spreadsheets and audits. Use PDF for printed reviews, manager approvals, employee discussions, or policy snapshots attached to HR workflows.
Important Note: All the Calculators listed in this site are for educational purpose only and we do not guarentee the accuracy of results. Please do consult with other sources as well.