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Eligibility
 
Who Is Eligible For Insurance?

This plan is available to any non-discriminatory class or classes of full-time, part-time, seasonal or temporary employees designated by the employer. Coverage may also be made available to insured employees’ families at the employer’s option.

Enrollment Requirements:

  • Employee must be actively-at-work on the effective date of insurance or the next work day following the effective date of insurance
  • There are no health questions or physical exams required to qualify
  • There are no minimum participation requirements

Eligible employees may enroll:

  • within 30 days of the date employment begins or upon completion of any required waiting period
  • after a HIPAA life-status event occurs, or
  • during any annual open enrollment period.

Coverage is effective the first day of the month following the date the enrollment form is processed provided the employee and/or dependent(s) are actively at work on that day or on the next business day if the first of the month falls on a weekend or a holiday.

For dependents who are not employed, “actively at work” means that they are able to engage in substantially all of the usual activities of a person in good health who is the same age and sex and are not confined in a hospital or other facility.

Note: A six month pre-existing condition limitation applies but only to hospital & surgery benefits.

If the Optional Dental Plan is elected, some services require a 12 month waiting period before benefits are available.

 
 
 
 
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