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An eligible employee meets the guidelines established in the Evidence of Coverage (EOC) and Group Enrollment Agreement (GEA).
Each eligible employee, interested in receiving health coverage under your group plan, must complete an enrollment form during one of the enrollment periods or within 31 days of becoming eligible. To enroll as an eligible dependent, he/she must be listed on the employee’s enrollment form.
It’s very important for each employee to fill out the enrollment application correctly. Failure to complete every section and/or sign may delay the implementation process. Once an application(s) is complete, please give it to your Group Services representative.
If one of your employees experiences a qualifying life event or change in employment status, which affects his/her eligibility or his/her dependent’s eligibility to receive health benefits under your group plan, it’s your responsibility to provide written notice within 31 days of the event or change. Simply complete a membership change form, enrollment form or approved electronic method and send it to your Group Services representative.
If proper notice is not provided, which would have resulted in termination of coverage, Sierra Health and Life shall have the right to terminate coverage.