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In Group Medical & Health Insurance a "Late enrollee" means an eligible employee or dependent who has
declined health coverage ...at the time of the initial enrollment period ...
and who subsequently requests enrollment ... INSURANCE CODE SECTION
§10700 l-
read the full definition and
exceptions for
details and how to get coverage without waiting for
Open Enrollment
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| "Special Enrollment" |
| How to
add an employee |
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Qualifying Event |
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Kaiser will allow an
eligible employee who
originally declined coverage to enroll outside normal open enrollment rules
provided the situation considered is a
qualifying event ,such as, Loss of
Coverage or Court Order to Add Dependent Child (both subscriber and
dependent must enroll). Other enrollment reasons are as follows: Part-Time
to Full-Time Employment Status, Moved into Service Area, Rehired within 6
months, Return from Layoff/Leave of Absence, Return from Military Duty.
Kaiser also has a 60 day retro rule. If an
employee or dependent enrolls within 60 days pass the eligible effective
date, the member will be enrolled retro to the date he/she was eligible. For
example, the employee is eligible effective 10/1/03. Kaiser receives
application on 11/5/03. The member's effective date will be 10/1/03.
George N. Papacalos, CLU
Sales Executive
Kaiser Permanente
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