Membership At A Glance

Type of EventDate of SubmissionChange Effective Date
New Hire/Rehire*No later than 60 days from date of eligibilityGroup determines but not to exceed 90 days from date of hire.
Marriage*Within 31 days following marriageFirst of the month following marriage
32 - 60 days following marriageFirst of the month following receipt
After 60 days following marriage (small group)First of the month following receipt
After 60 days following marriage (large group)Void - must wait until next open enrollment
Birth*Newborn is automatically added for first 60 days
Within 60 days following the date of birth, to continue coverage or to request other changes to your coverage
Date of birth for child and 61st day after the birth for the membership type change
After 60 days following birth (small group)First of month following receipt
After 60 days following birth (large group)Void - must wait until next open enrollment
Adoption*Within 60 days following adoption (or placement for adoption)Date of adoption (or placement for adoption)
After 60 days following birth (small group)First of month following receipt
After 60 days following birth (large group)Void - must wait until next open enrollment
DeathWithin 6 months of the date of deathDate of death
DivorceWithin 60 days of divorceFirst of the month following divorce
Qualifying Loss of Coverage*Within 31 days after notification of loss of coverageRetroactive to date of coverage loss
Voluntary CancellationMust submit Group Enrollment Form with employee signatureFirst of the month following receipt
Left EmploymentSubmit Group Membership Update Form indicating key word as "LE"First of the month following receipt
COBRA EligibilityIf subscriber accepts COBRA within 60 days, he or she can be retroactively reinstatedNot Applicable
Medicare Supplemental CoverageWithin 90 days of the date of Medicare coverageDate of Medicare entitlement.
If received prior to Medicare effective date, coverage will be effective to coincide with Medicare.
Addition of Employee who refused initial enrollmentPrior to the Anniversary or Open Enrollment monthFirst of the Anniversary or Open Enrollment month
During the Anniversary or Open Enrollment monthFirst of the month following receipt

* Requests not received as indicated above can be processed on your anniversary or open enrollment.