Dependent Documentation You must provide the required documentation and complete a in order to enroll new dependents on your medical, dental or vision coverage. These documents should be submitted to your HR/Treasurer’s department within 31 days of the enrollment event. All dependents must be enrolled with their legal name and have a SSN and date of birth. Spouse – marriage certificate AND most recent tax return. Children – birth certificate, adoption decree or legal guardianship Disabled Children – must also provide statement of disability Qualified Life Events During the plan year, you may experience a qualified life event that allows you to make changes to your current elections. The change must be made within 31 days of the event. Information regarding your special enrollment rights is contained in the General Health Notices. Some of the qualified life events are listed below: Marriage Divorce Birth/Adoption Death Loss of coverage Health Plan Definitions Premium - the amount that must be paid for your health plan. You pay a portion of the monthly health plan premium through automatic payroll deductions. Deductible - the amount you owe for health care services before your health plan begins to pay. For example, if your deductible is $500, your plan won’t pay anything until you have paid $500 towards covered health care services subject to the deductible. The deductible may not apply to all services. Copay - a fixed dollar amount (for example, $25) you pay for a covered health care service, such as an office visit, at the time you receive the service. The amount can vary by the type of service.
Dependent Documentation You must provide the required documentation and complete a in order to enroll new dependents on your medical, dental or vision coverage. These documents should be submitted to your HR/Treasurer’s department within 31 days of the enrollment event. All dependents must be enrolled with their legal name and have a SSN and date of birth. Spouse – marriage certificate AND most recent tax return. Children – birth certificate, adoption decree or legal guardianship Disabled Children – must also provide statement of disability Qualified Life Events During the plan year, you may experience a qualified life event that allows you to make changes to your current elections. The change must be made within 31 days of the event. Information regarding your special enrollment rights is contained in the General Health Notices. Some of the qualified life events are listed below: Marriage Divorce Birth/Adoption Death Loss of coverage Health Plan Definitions Premium - the amount that must be paid for your health plan. You pay a portion of the monthly health plan premium through automatic payroll deductions. Deductible - the amount you owe for health care services before your health plan begins to pay. For example, if your deductible is $500, your plan won’t pay anything until you have paid $500 towards covered health care services subject to the deductible. The deductible may not apply to all services. Copay - a fixed dollar amount (for example, $25) you pay for a covered health care service, such as an office visit, at the time you receive the service. The amount can vary by the type of service.
Greenon-OE-Letter---UHC.docx