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Employer Handbook

Section I: Enrollment of A New Employee adobe pdf

When to Enroll
Enrollment Procedure
Procedure to Waive
Procedure to File the Form

Section II: Termination of Employee Coverage adobe pdf

Termination of Employment
Other Uses of the Termination Form
COBRA Considerations for Companies with 20 or More Employees
NC State Continuation for Companies with Fewer than 20 Employees

Section III: Change of Employee Status adobe pdf

Procedure to Enroll an Employee who Becomes Eligible Due to a Change in Hours
Procedure to Waive Coverage
Procedure to Terminate Benefits for an Employee who has a Reduction in Hours
Procedure to File the Form

Section IV: Change of Employee’s Dependent(s) adobe pdf

Procedure to Add Dependent(s) at the time of a Qualifying Event
Procedure to Add Dependent(s) during an Annual Enrollment
Procedure to Drop Dependent(s) at the time of a Qualifying Event
Procedure to Drop Dependent(s) during an Annual Enrollment
Procedure to Drop Dependent(s) for Non-Payment of Premiums

Section V: Change of Personal Information adobe pdf

Procedure to Change Information Using the Enrollment Form
Procedure to Change Information Using a Change of Address Form

Section VI: Q&A for The Annual Enrollment Period adobe pdf

Section VII: Q&A for Enrolling Employees adobe pdf

Section VIII: Medical/Vision/Pharmacy Claims Information adobe pdf

Medical/Vision Claims Questions
Submitting a Medical/Vision Claim for Member Reimbursement
Submitting a Pharmacy Claim for Member Reimbursement
Obtaining a Pharmacy Reimbursement Directly from the Pharmacy

Section IX: Sample Blank forms adobe pdf

 

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