Common use of Active Employee Coverage Clause in Contracts

Active Employee Coverage. 1. The public entity must enroll or waive coverage for a new employee by submitting a form signed by the employee and the payroll representative within thirty-one (31) days of his/her eligibility date. A new employee’s coverage begins on the first day of the month after the hire date and the applicable waiting period. 2. An active employee may elect, change, or cancel coverage for the next plan year during the annual open enrollment peri- od. 3. An active employee may elect or change coverage for himself/herself and/or for his/her spouse/child(ren) if one (1) of the following occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren). A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event. (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. An employee and his/her spouse/child(ren) may enroll within sixty (60) days due to an involuntary loss of employer-sponsored coverage under one (1) of the following circumstances: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends; or C. If an active employee or his/her spouse/child(xxx) loses MO HealthNet or Medicaid status, s/he may enroll in an MCHCP plan within sixty (60) days of the date of loss; or D. If an active employee or active employee’s spouse receives a court order stat- ing s/he is responsible for covering a child(xxx), the active employee may enroll the child(ren) in an MCHCP plan within sixty (60) days of the court order; or E. If an active employee submits an Open Enrollment Worksheet or an Enroll/Change/Cancel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the public entity’s Human Resource Department of such by mail, phone, or secure message. The correct- ed form must be submitted to MCHCP by the date enrollment was originally due to MCHCP or ten (10) business days from the date the notice was mailed or sent by secure message or phone, whichever is later. 4. If an active employee is enrolled and does not complete enrollment during the open enrollment period, the employee and his/her dependents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the employee and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.

Active Employee Coverage. 1. The public entity must enroll or waive coverage for a new employee by submitting a form signed by the employee and the payroll representative within thirty-one (31) days of his/her eligibility date. A new employee’s coverage begins on the first day of the month after the hire date and the applicable waiting period. 2. An active employee may elect, change, or cancel elect cover- age and/or change coverage for the next plan year levels during the annual open enrollment peri- odperiod. 3. An active employee may elect or change apply for coverage for himself/herself and/or for his/her spouse/child(ren) dependents if one (1) of the following occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren)children. A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event. (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. An employee and his/her spouse/child(ren) depen- dents may enroll within sixty (60) days due to an involuntary loss of if s/he involuntarily loses employer-sponsored coverage cov- erage under one (1) of the following circumstancescircum- stances: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends; or C. If an active employee or his/her spouse/child(xxx) dependent loses MO HealthNet or Medicaid status, s/he may enroll in an MCHCP plan within sixty (60) days of the date of loss; or D. If an active employee or active employee’s spouse receives a court order stat- ing s/he is responsible for covering a child(xxx)depen- dent, the active employee may enroll the child(ren) dependent in an MCHCP plan within sixty (60) days of the court order; or E. If an active employee submits an Open Enrollment Worksheet or an Enroll/Change/Cancel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the public entity’s entity Human Resource Department of such by mail, phone, or secure message. The correct- ed corrected form must be submitted sub- mitted to MCHCP by the date enrollment was originally due to MCHCP or ten (10) business busi- ness days from the date the notice was mailed or sent by secure message or phone, whichever whichev- er is later. 4. If an active employee is currently enrolled and does not complete enrollment during the open enrollment period, the employee and his/her dependents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the employee and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entityenti- ty, effective the first day of the next calendar year.

Active Employee Coverage. 1. The public entity must enroll or waive coverage for a new employee by submitting a form signed by the employee and the payroll representative within thirty-one (31) days of his/her eligibility date. A new employee’s coverage begins on the first day of the month after the hire date and the applicable waiting period. 2. An active employee may elect, change, or cancel coverage for the next plan year during the annual open enrollment peri- od. 3. An active employee may elect or change apply for coverage for himself/herself and/or for his/her spouse/child(ren) if one (1) of the following fol- lowing occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren). A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event.; (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. An employee and his/her spouse/child(renchild(xxx) may enroll within sixty (60) days due to an involuntary loss of if s/he involuntarily loses employer-sponsored spon- sored coverage under one (1) of the following circumstances: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends; or C. If an active employee or his/her spouse/child(xxx) loses MO HealthNet or Medicaid status, s/he may enroll in an MCHCP plan within sixty (60) days of the date of loss; or D. If an active employee or active employee’s spouse receives a court order stat- ing s/he is responsible for covering a child(xxx), the active employee may enroll the child(ren) in an MCHCP plan within sixty (60) days of the court order; or E. If an active employee submits an Open Enrollment Worksheet or an Enroll/Change/Cancel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the public entity’s Human Resource Department of such by mail, phone, or secure message. The correct- ed corrected form must be submitted to MCHCP by the date enrollment enroll- ment was originally due to MCHCP or ten (10) business days from the date the notice was mailed or sent by secure message or phone, whichever is later. 4. If an active employee is enrolled and does not complete enrollment during the open enrollment period, the employee and his/her dependents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the employee and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.ten

Active Employee Coverage. 1. The public entity must enroll or waive coverage for a new employee by submitting a form signed by the employee and the payroll representative within thirty-one (31) days of his/her eligibility date. A new employee’s coverage begins on the first day of the month after the hire date and the applicable waiting period. 2. An active employee may elect, change, or cancel coverage for the next plan year during the annual open enrollment peri- od. 3. An active employee may elect or change apply for coverage for himself/herself and/or for his/her spouse/child(ren) if one (1) of the following fol- lowing occurs: X. Xxxxxxxxxx of a life event, which includes marriage, birth, adoption, and placement of child(ren). A special enrollment period of thirty-one (31) days shall be avail- able beginning with the date of the life event. It is the employee’s responsibility to notify MCHCP of the life event.; (I) If paternity is necessary to establish the life event and was not estab- lished at birth, the date that paternity is estab- lished shall be the date of the life event; or B. Employer-sponsored group cover- age loss. An employee and his/her spouse/child(renchild(xxx) may enroll within sixty (60) days due to an involuntary loss of if s/he involuntarily loses employer-sponsored spon- sored coverage under one (1) of the following circumstances: (I) Employer-sponsored medical, dental, or vision plan terminates; (II) Eligibility for employer-spon- sored coverage ends; (III) Employer contributions toward the premiums end; or (IV) COBRA coverage ends; or C. If an active employee or his/her spouse/child(xxx) loses MO HealthNet or Medicaid status, s/he may enroll in an MCHCP plan within sixty (60) days of the date of loss; or D. If an active employee or active employee’s spouse receives a court order stat- ing s/he is responsible for covering a child(xxx), the active employee may enroll the child(ren) in an MCHCP plan within sixty (60) days of the court order; or E. If an active employee submits an Open Enrollment Worksheet or an Enroll/Change/Cancel/Waive form that is incomplete or contains obvious errors, MCHCP will notify the public entity’s Human Resource Department of such by mail, phone, or secure message. The correct- ed form must be submitted to MCHCP by the date enrollment was originally due to MCHCP or ten (10) business days from the date the notice was mailed or sent by secure message or phone, whichever is later. 4. If an active employee is enrolled and does not complete enrollment during the open enrollment period, the employee and his/her dependents will be enrolled at the same level of coverage in the plan offered by the public entity for the new year. If the public entity offers two (2) plan options, the employee and his/her dependents will be enrolled at the same level of coverage in the low cost plan offered by the public entity, effective the first day of the next calendar year.sixty