Open Enrollment for plan year 2010 has ended!
Employees are only permitted to make changes to coverage during the Open enrollment period each year. However, there are some changes in status that permit limited changes outside of the annual Open Enrollment period. Examples of qualifying changes include:
• Birth of a child
• Death of a dependent
• Dependent loss of eligibility
• Marriage or divorce
• Dependent child loss of SCHIP coverage
• Involuntary loss of other coverage, such as if coverage under a spouse ceases
• Gaining eligibility for Medicare (for Retirees)
• Changes in other coverage which has a different plan year.
Employees have 60 days from date of the qualifying change in status to submit an Enrollment Form making changes to benefits. Any change submitted after 60 days of the qualifying change in status cannot be accepted, and will have to wait until the next Open Enrollment period to make a change.
Highlights for the New Plan Year:
- Kaiser Permanente Medical HMO and Dental Benefit Providers Dental DHMO plans are no longer available – anyone currently enrolled in either or both of these plans must choose a new plan in order to have coverage after June 30.
- IMPORTANT! Current Kaiser HMO members, who are currently receiving treatment for a serious or unstable medical condition, see Transition of Medical Care for critical information regarding Transition of Care (TOC) to another health plan.
- IMPORTANT! Current Dental Benefit Providers (DBP) DHMO members, who are currently in orthodontic treatment or have begun but not completed treatment for crowns, inlays or onlays, see Transition of Dental Care for critical information regarding Transition of Care (TOC) to United Concordia.
- HMO plans have been updated and improved to EPOs and include national networks
- Aetna Exclusive Provider Organization (EPO) is a new medical plan offering called Aetna EPO.
- Same Sex Domestic Partners and Children of the Domestic Partners are eligible for coverage. Read Frequently Asked Questions for additional details.