Enrollment Rules To be confirmed based on sold case plan details, and individual client enrollment rules. Choice of enrollments: Annual Re-enrollment What is the effective date if Effective Date of Class Change EE moves to another eligible class? Choices: the date first of month following first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) What is the date any increase or decrease in coverage becomes effective. Effective Date of Coverage Choices: Changes due to EARNINGS the date CHANGE ( Increase / Decrease first of month following in Salary) (if applicable) first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) What is the date the change in premium occurs, moving from one age band to another? Choices: Effective Date of Premium the date Changes due to change in Age first of month following first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) Plan Type Description What is the plan type, ASO LTD or Fully Insured?
Enrollment Rules To be confirmed based on sold case plan details, and individual client enrollment rules. Choice of enrollments: Annual Re-enrollment Effective Date of Class Change What is the effective date if EE moves to another eligible class? Choices: the date first of month following first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) Effective Date of Coverage Changes due to EARNINGS CHANGE ( Increase / Decrease in Salary) (if applicable) What is the date any increase or decrease in coverage becomes effective. Choices: the date first of month following first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) Effective Date of Premium Changes due to change in Age What is the date the change in premium occurs, moving from one age band to another? Choices: the date first of month following first of month coinciding with or next following Specific MM/DD Policy Anniversary Date Other (provide details) Plan Type Description What is the plan type, ASO LTD or Fully Insured?
COP%20-%20LTD%20FINAL%20082017.docx