Enrollment Guidelines

Eligible Employees ........................................................................ 4.1

Full-Time................................................................................. 4.1

Part-Time ................................................................................ 4.1

Sole Proprietors/Partners/Corporate Officers................................ 4.1

Employees Residing Outside of California .................................... 4.1

Ineligible Employees ..................................................................... 4.1

Enrolling New Employees ............................................................. 4.2

Blue Cross Employee Application

Coverage Effective Dates ............................................................... 4.2

Enrolling Re-Hired Employees...................................................... 4.3

Eligible Dependents ...................................................................... 4.3

New Spouse .............................................................................. 4.4

Children .................................................................................. 4.4

Newborns................................................................................. 4.4

Adoptions ................................................................................. 4.4

Domestic Partners ..................................................................... 4.5

Children of Domestic Partners ................................................... 4.5

Enrolling Dependents ................................................................... 4.5

Application Requirements.......................................................... 4.6

Declinations .................................................................................. 4.6

Late Enrollees/Open Enrollment .................................................. 4.7

Pre-existing Conditions ................................................................. 4.7  More on Pre X  Even more

Where to Submit Applications ...................................................... 4.7

Employee Application Tips ........................................................... 4.8

Enrollment Forms Guide .............................................................. 4.9

Membership Changes

Deleting Employees from the Plan................................................ 5.1

Deleting Terminated Employees ................................................. 5.1

Get quote on a Temporary Plan

 ............................................................... 5.2

Deleting COBRA Members ...................................................... 5.2

COBRA-Eligible Dependents .................................................... 5.2

More on COBRA 

Address Changes ........................................................................... 5.2

Employees Turning 65 .................................................................. 5.3

Extension of Benefits..................................................................... 5.3

Overage Dependents ..................................................................... 5.3

Group Requirements and Maintenance

Accuracy of Information ............................................................... 6.1

ID Cards, Certificates ................................................................... 6.1

Participation Requirements ........................................................... 6.1

Contribution Requirements .......................................................... 6.2

Anniversary Dates ......................................................................... 6.3

Employer Waiting Periods ............................................................. 6.3   - View Options on Application

Converting Part-time Employees to

Full-time Employees (and vice versa) ............................................ 6.4

Cancelling Group Coverage .......................................................... 6.4

Non-Renewal of Coverage............................................................. 6.5

Changes in Ownership.................................................................. 6.5

Leave of Absence........................................................................... 6.5

Temporary Personal Leave of Absence......................................... 6.5

Temporary Medical Leave of Absence ......................................... 6.6

Benefit Modifications.................................................................... 6.6

Small Group Guide to Plan Change Underwriting .................... 6.7

Benefit Modification Requirements............................................ 6.8

Continuation of Coverage............................................................. 6.9

Cal-COBRA............................................................................ 6.9

COBRA ................................................................................. 6.10

HIPAA................................................................................... 6.10

Conversion ............................................................................. 6.10

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