Common use of Eligibility Changes Clause in Contracts

Eligibility Changes. Faculty members who become eligible for a full Employer contribution must make their benefit elections within thirty (30) calendar days of becoming eligible. If faculty members do not choose a health plan administrator and a primary care clinic within this thirty (30) day timeframe, they will be enrolled in a Benefit Level Two clinic (or Level One, if available) that meets established access standards in the health plan with the largest number of Benefit Level One and Two clinics in the county of the faculty member’s residence at the beginning of the insurance year. If faculty members who become eligible for a partial Employer contribution chooses to enroll in insurance, they must do so within thirty (30) days of becoming eligible or during open enrollment. A faculty member may change his/her health or dental plan if the faculty member changes to a new permanent work or residence location and the faculty member's current plan is no longer available. If the faculty member has family coverage and if the new residence location is outside of the current plan’s service area, the faculty member shall be permitted to switch to a new plan administrator and new Benefit Level within thirty (30) days of the residence location change. The election change must be due to and correspond with the change in status. A faculty member who receives notification of a work location change between the end of an open enrollment period and the beginning of the next insurance year, may change his/her health or dental plan within thirty (30) days of the date of the relocation under the same provisions accorded during the last open enrollment period. A faculty member or retiree may also change health or dental plans in any other situation in which the Employer is required by the applicable federal or state law to allow a plan change.