Common use of Enrollments Clause in Contracts

Enrollments. There will be a one-month period each calendar year as a true Open Enrollment Period, where plan participants may modify their existing coverage. This date will be determined by the District. Enrollments are permitted within 30 days of a qualifying event. Late enrollments (beyond the 30 day period) are not permitted. A qualifying event is: 1. A change in family status which affects those covered (marriage, death, divorce, birth, or adoption). 2. A change in the spouse’s employment status causing a loss of health or dental coverage for the plan participant or his/her dependents. 3. A change in the plan participant’s employment status causing a loss of coverage. 4. A substantial change in benefits and/or premium costs takes place. This is subject to appeal through the normal grievance procedures. 5. A change in employment status that results when a permanent 50% or less teacher is assigned to a permanent full time (51% or higher) position shall also be considered a qualifying event. 6. All long-term substitute teachers will be terminated from the School District’s health care plan at the end of the substitute teaching contract and will be eligible to purchase continuing health care benefits pursuant to COBRA. Thereafter, at the beginning of the subsequent school year, these former long-term substitute teachers who have accepted a permanent contract with the District will be permitted to enroll in the School District’s health care plan as a new hire, pursuant to the plan’s enrollment provisions. A plan participant who fails to make an election change during the enrollment period will automatically retain his or her present coverage. Plan participants will receive detailed information regarding the enrollment period from the Penn Manor School District.

Enrollments. There will be a one-month period each calendar year as a true Open Enrollment Period, where plan participants may modify their existing coverage. This date will be determined by the District. Enrollments are permitted within 30 31 days of a qualifying event. Late enrollments (beyond the 30 31 day period) are not permitted. A qualifying event is: 1. A change in family status which affects those covered (marriage, death, divorce, birth, or adoption). 2. A change in the spouse’s employment status causing a loss of health or dental coverage for the plan participant or his/her dependents. 3. A change in the plan participant’s employment status causing a loss of coverage. 4. A substantial change in benefits and/or premium costs takes place. This is subject to appeal through the normal grievance procedures. 5. A change in employment status that results when a permanent 50% or less teacher is assigned to a permanent full time (51% or higher) position shall also be considered a qualifying event. 6. All long-term substitute teachers will be terminated from the School District’s health care plan at the end of the substitute teaching contract and will be eligible to purchase continuing health care benefits pursuant to COBRA. Thereafter, at the beginning of the subsequent school year, these former long-term substitute teachers who have accepted a permanent contract with the District will be permitted to enroll in the School District’s health care plan as a new hire, pursuant to the plan’s enrollment provisions. A plan participant who fails to make an election change during the enrollment period will automatically retain his or her present coverage. Plan participants will receive detailed information regarding the enrollment period from the Penn Manor School District.