Enrollment & Changes a. Employee Options: Employees may enroll, change or cease their contributions at any time.
Enrollment & Changes. For enrollment changes, the managed care entity shall comply with the following requirements:
a. At the time of enrollment for new members, notify each member of the right to change enrollment at any time and how to initiate the change process through the Agency’s enrollment and disenrollment services contractor. Such notification must adhere to approved wording specifications provided by the Agency.
b. The effective date for enrollment change shall be the last day of the month in which enrollment change was effectuated by the Agency, unless the Agency requests an earlier or later date.
c. The managed care entity shall ensure that it does not restrict the member’s right to change enrollment in any way.
d. The managed care entity shall not provide or assist in the completion of an enrollment change, but must ensure that all written and oral enrollment change requests are promptly handled by referring members to the enrollment and disenrollment services contractor.
e. The managed care entity shall keep a daily written log or electronic documentation of all oral and written enrollment change requests and the disposition of such requests. The log shall include the following: the date the request was received by the managed care entity; the date of the letter advising them of the enrollment change procedure; and the reason that the member is requesting an enrollment change.
Enrollment & Changes. Any changes to the initial enrollment will be charged to Employer in accordance with the following:
4.1.1.1. Subscriber added on or before the 15th day of the month: Employer will be charged the monthly ASFs for that Subscriber.
4.1.1.2. Subscriber added after the 15th day of the month: Employer will not be charged the monthly ASFs for that Subscriber.
4.1.1.3. Subscriber termed on or after the 15th day of the month: Employer will be charged the monthly ASFs for that Subscriber.
4.1.1.4. Subscriber termed before the 15th day of the month: Employer will not be charged the monthly ASFs for that Subscriber.
Enrollment & Changes. If an employee applies for Family coverage within thirty (30) days of marriage, then Family coverage will become effective on the first day of the month following the date of marriage. Dependent children are eligible from moment of birth. The employee must apply to add the dependent child within thirty (30) days of birth. In cases of adoption, the child shall be added in accordance with the rules of the insurance carrier. An employee may request a change from Family coverage to Individual coverage at any time if (s)he: ● No longer has dependents eligible for coverage ● No longer wishes to provide coverage for his/her dependents even though (s)he is still eligible. Such dependents cannot be re-enrolled until the next open enrollment period. The employee must remove a spouse upon divorce. Spouse's coverage will be cancelled on date divorce is finalized. Coverage may be continued while on an approved leave of absence without pay as long as the employee pays the total applicable premium cost at the group rate.
Enrollment & Changes. 7.6.1 If an employee applies for Family coverage within thirty days of marriage, then family coverage will become effective on the first day of the month following his/her request for Family coverage.
7.6.2 The employee must apply to add a dependent child within thirty days of birth.
7.6.3 An employee may request a change from Family coverage to Individual coverage at any time if (s)he:
a. No longer has dependents eligible for coverage.
b. No longer wishes to provide coverage for his/her dependents even though (s)he is still eligible. Such dependents cannot be re-enrolled until the next open enrollment period.
7.7 Leave Without Pay Coverage may be continued while on an approved leave of absence without pay as long as the employee pays the total applicable premium cost at the group rate.
Enrollment & Changes. Effective Date of Coverage
a. If an employee, who is insured for Individual Coverage, applies for Family Coverage within thirty days from first acquiring dependents, family coverage will begin on the first (1st) day of the month following the date of application for family coverage.
b. If an employee fails to apply for family coverage within thirty days from first acquiring dependents, the employee may thereafter apply for coverage during the Annual Open Enrollment Period.
c. An employee may request a change from Family Coverage to Individual Coverage at any time if the employee:
i. no longer has dependents eligible for coverage.
ii. no longer wishes to provide coverage for dependents even though they are still eligible. In this case, the employee may only re-enroll for family coverage during the Annual Open Enrollment Period.
d. An employee may cancel dental insurance at any time to be effective at the end of the month in which the insurance is canceled. In this case, the employee may re-enroll for dental insurance only during the Annual Open Enrollment Period.
Enrollment & Changes. 7.6.1 If an employee applies for Family coverage withln thirty days of marriage, then family coverage will become effective on the first day of the month following his/her request for Family coverage.
7.6.2 The employee must apply to add a dependent child within thirty days of birth.
7.6.3 An employee may request a change from Family coverage to Individual coverage at any time if (s)he:
a. No longer has dependents eligible for coverage.
b. No longer wishes to provide coverage for his/her dependents even though (s)he is still eligible. Such dependents cannot be re-enrolled until the next open enrollment period.
Enrollment & Changes. An Eligible Employee must make any enrollment changes pursuant to this Section 3.4(i) within 31 days after the Eligible Employee, spouse, or Dependent gains or loses coverage (as applicable) as described in paragraphs (1) and (2) above.
Enrollment & Changes. Employer shall notify HealthTrust immediately in writing via fax, mail or email of any newly Eligible Employees electing benefits under the Health FSA, Dependent Care Account, and/or HRA or of a Change-in-Status Event, termination of employment or other event which changes or could change an Eligible Employee’s status under the Benefit Plan(s), or affects or could affect HealthTrust’s service responsibilities under the Benefit Plan(s) or this Agreement. Such enrollment change information shall be provided by Employer in such format as is required by HealthTrust. Employer acknowledges that any failure to provide enrollment change information to HealthTrust in a timely manner may result in the payment of claims for Employees who are no longer eligible for such claim reimbursement pursuant to the Benefit Plan(s).
Enrollment & Changes
