Health and Welfare Summary Plan Description

 
  • Health and Welfare SPD / Article VI / Enrollment and Termination of Coverage >>

6.4 Special Enrollment.

You may enroll a Dependent at a time other than your initial or open enrollment under the following circumstances:

  1. if you marry, you may enroll your new Spouse within 30 days of your marriage;

  2. if you have a Child by birth, adoption or placement for adoption, you may enroll your new Child within 30 days of the Child's birth, adoption or placement for adoption;

  3. if your un-enrolled Dependent loses other health insurance coverage, you may enroll that Dependent in the Plan within 30 days of the date that the other coverage ends;

  4. you may enroll a Dependent retroactively to the preceding August 1 if (i) the Dependent qualifies for tax-free coverage as your dependent under the Internal Revenue Code, (ii) you are enrolled in the Self-Funded PPO (or the HMO in which you are enrolled agrees to the retroactive enrollment) and (iii) you request the retroactive in writing to the Plan Office before the close of the Plan Year; and

  5. if you lost coverage due to an insufficient Hour Bank balance, then reestablished coverage under Section 3.2 after earning additional hours of Covered Employment, you may enroll any un-enrolled Dependent during the 30-day period beginning on the first day of the month for which your coverage is reestablished.

    The special enrollment rules of this section shall be applied consistent with the provisions of Treasury Regulation §54.9801-6 (except as expressly modified otherwise).

    Exception. Effective August 1, 2012, there will be a $100 penalty for Participants who fail to add or reinstate Dependents at a time other than during a period specified earlier in this section. Retroactive enrollment will be permitted but only to the later of (i) the first day following an open enrollment period, (ii) the date the individual became a Dependent, (iii) the date approved by the medical program in which the Participant is enrolled or (iv) in the case of a Domestic Partner who is not a dependent for tax purposes, the first day of the current calendar year quarter.