Employer Home
Plans and Products
Member Maintenance
New Enrollment
Medicare Part D
Open Enrollment Changes to Existing Coverage Special Enrollments Open Enrollment COBRA CHIP Enrollment Guidelines Membership at a Glance Member Resource Center - Widget Billing Forms Rx Center Tools and Resources Health & Wellness Newsletters Contact Us Health Care Reform for Employers
Open Enrollment Changes to Existing Coverage Special Enrollments Open Enrollment COBRA CHIP Enrollment Guidelines Membership at a Glance Member Resource Center - Widget Billing Forms Rx Center Tools and Resources Health & Wellness Newsletters Contact Us Health Care Reform for Employers
Membership At A Glance
| Type of Event | Deadline for Receipt | Change Effective Date |
|---|---|---|
| New Hire/Rehire * | No later than 60 days from date of eligibility. | First of the month following date of receipt, but not prior to completion of probationary period. |
| Marriage/Civil Union * | Within 31 days following marriage or civil union. | First of the month following marriage or civil union. |
| 32 - 60 days following marriage or civil union. | First of the month following receipt. | |
| Birth * | Within 31 days following birth. | Date of birth for child and 32nd day after the birth for the membership type change. |
| 32 - 60 days following birth. | First of the month following receipt. | |
| Adoption * | Within 31 days following adoption (or placement for adoption) | Date of adoption (or placement for adoption) |
| 32 - 60 days following adoption (or placement for adoption) | First of the month after we receive the request. | |
| Death | Within 6 months of the date of death. | First of the month following death. |
| Divorce | Within 60 days of divorce. | First of the month following divorce. |
| Qualifying Loss of Coverage * | Within 31 days after notification of loss of coverage. | Retroactive to date of coverage loss. |
| Voluntary Cancellation | Must submit Group Enrollment Form with employee signature. | First of the month following receipt. |
| Left Employment | Submit Group Membership Update Form indicating key word as "LE" | First of the month following receipt. |
| COBRA Eligibility | Remove subscriber immediately. If subscriber accepts COBRA within 60 days, he or she can be retroactively reinstated. | Not Applicable. |
| Medicare Supplemental Coverage | Within 90 days of the date of Medicare coverage. | Date of Medicare entitlement. If received prior to Medicare effective date, coverage will be effective to coincide with Medicare. |
| Addition of Employee who refused initial enrollment | Prior to the Anniversary or Open Enrollment month. | First of the Anniversary or Open Enrollment month. |
| During the Anniversary or Open Enrollment month. | First of the month following receipt. | |
* Requests not received as indicated above can be processed on your anniversary or open enrollment.
- All Group Enrollment Forms must be signed and dated by the subscriber.
- All Membership Update forms must be signed and dated by the appropriate group representative.
- Some small groups do not have open enrollments because of state laws forbidding them. Members of these groups may add eligible members at any time.
- For the complete Group Benefits Manager Manual, visit our website at www.bcbsvt.com/employer
