If you or a dependent lose coverage under any other group insurance plan, or if you acquire a new dependent during the plan year, the federal Health Insurance Portability and Accountability Act (HIPAA) may provide additional opportunities for you and eligible dependents to enroll in health coverage. If you are adding dependents to your existing coverage, you and eligible dependents may transfer to a different carrier or healthcare option, if eligible. You or eligible dependents may also be eligible to enroll in dental and vision coverage if you meet the requirements stated in the dental or vision certificates of coverage. Premiums are not prorated. If approved, you must pay premium for the entire month in which the effective date occurs.
- An event causing the loss of eligibility for coverage from another group health insurance plan.
- An event that results in acquisition of a new dependent spouse or stepchild acquired by marriage, or a child acquired pursuant to an order of guardianship.
- An event that results in acquisition of a new dependent acquired by birth, adoption, or placement in legal custody for adoption.
Application for enrollment must be made within 60 days of the loss of eligibility for other health insurance coverage or within 30 days of a new dependent’s acquire date. The employee will be required to submit documentation of the event that qualifies him/her for the special enrollment provision.
Additional information is available on our HR service page at Insurance Enrollment Changes. Contact Sara Harper, Benefits Consultant, at [email protected] or (423) 425-5743.