Open Enrollment

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Steve Shorr Insurance

 

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If you waive coverage during, Initial Enrollment,  Open Enrollment - Plan Anniversary can you or your dependent's apply later?

 

Generally NO, you must wait until the Plan Anniversary.  If you lose other GROUP coverage - then yes, within 30 days. as you would than qualify as a LATE Enrollee   We suggest that you get a Temporary Plan, or keep your COBRA, until you qualify for your Employer Group Coverage.  You never know when something might happen.

 

 

Late Enrollees/  Open Enrollment

If a new Employee Application is received by ... more than 31 days after becoming eligible, the subscriber and eligible dependents will be considered Late Enrollees and will be required to wait until the group's anniversary date to obtain coverage. This is known as Open Enrollment.

The process for Open Enrollment is the same as if the group were adding an employee upon its anniversary date. (12 months after they first signed up with the Insurance Company)  All employees and/or eligible dependents who previously declined to enroll, who wish to enroll, must complete an Employee Application. The application must be received within 30 days of the group's anniversary date. The group anniversary can be verified by contacting Customer Service. Blue Cross Administrators Manual

 

 

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Anniversary Dates


An employers anniversary date is the month and day on which the groups policy became effective and coverage commenced. The groups anniversary date cannot be changed. The groups anniversary date is important because there are certain actions and changes that can occur only on that date. These activities include the following:

bulletChange from one type of plan to another already offered by the group
bulletRequest addition of part-time employees as a class of eligible employees
bulletRequest a review of the groups Risk Adjustment Factor
bulletRequest to change the employers contribution approach
bullet Request to add employees and/or dependents who previously declined coverage

Page 30 BC Administrators Guide

 

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