|
|
|
|
|
|
|
 |
: 801-366-7555 |
| : 800-765-7347 |
|
|
|
|
|
|
 |
As a new employee, how long do
I have to enroll in the health plans offered through
PEHP by my employer? |
If you are eligible for health insurance benefits
under PEHP through Salt Lake County, you must enroll in coverage within
60 days from your date of hire.
Back to Top
|
How do I enroll in the health plans? |
To enroll in PEHP’s health insurance plan you
must complete the enrollment form and return it to Salt Lake County
Personnel. Enrollment forms may be obtain from Salt Lake County Personnel.
Back to Top
|
Who is eligible to be on the
health plans? |
- Your lawful spouse
- Unmarried children or step children up to the
age of 26 with whom you have a parental relationship.
- Unmarried legally adopted children, foster children,
and children through legal guardianship up to the age of 26 subject
to PEHP receiving adequate legal documentation.
- Unmarried children age 26 or older who are incapable
of self-support because of mental or physical handicap for as long
as they remain totally disabled, subject to your continued coverage.
Periodic medical documentation is required.
- Dependent children for whom you are required
to provide health insurance as stipulated in a divorce decree. Your
ex-spouse and/or stepchildren can no longer be covered under the
group plan, but may be eligible to convert to a COBRA plan.
Back to Top
|
Will I have a pre-existing
condition waiting period? |
If you enroll within 60 days from your date
of hire there will be no pre-existing condition waiting period.
If you do not enroll in the health insurance within 60 days, for
whatever reason, you will not be eligible to enroll until the next
annual enrollment period, at which time a six-month pre-existing
condition waiting period may apply. If you have had prior creditable
coverage which would mitigate the pre-existing condition exclusions,
it is your responsibility to provide a Certificate and Disclosure
Statement from your previous insurance carrier.
Back to Top
|
If I decline health coverage
during my initial eligibility period because of other health coverage
and subsequently lose my health coverage do I have to wait until
the annual enrollment period to enroll in the plans? |
If at the time of enrollment you are declining
enrollment for you or your dependents (including your spouse) because
of other health insurance coverage and then subsequently lose the
other coverage, you may be able to enroll yourself and your dependents
in PEHP, provided you request enrollment within 30 days after your
other coverage ends.
Back to Top
|
How long do I have to report
a change in family status (i.e., divorce, birth, adoption, marriage)
to PEHP? |
You have 30 days from the change in family status
to enroll any new dependent(s). If the change is not reported within 30 days you will have to wait until the next annual enrollment
period in order to enroll the new dependent(s).
Back to Top
|
How long can my dependent
children remain on my health policy? |
A dependent child may remain on the health policy until they reach age 26.
Back to Top
|
May dependents under age 26 who are removed from coverage due to marriage or military duty be reinstated upon divorce or discharge from the military? |
A dependant child who marries and subsequently
divorces may not be added back onto your PEHP medical and/or dental
plan. A dependant who is discharged from the military prior to age 26
may be added back to your medical and/or plan within 60 days from the
date of discharge.
Under the dental policy anyone who is dropped from
the plan will have to wait three years until they may enroll again
and it must be done during the annual enrollment period.
Back to Top
|
May I add my parents, who are dependent upon me for support to my health plans? |
A parent or parents who are dependent upon you
for support may not be added to your PEHP policy.
Back to Top
|
If my employment terminates,
how can I continue coverage? |
A federal law, the Consolidated Omnibus Budget
Reconciliation Act of 1985 "COBRA", requires that employers
(with 20 or more employees) sponsoring group medical and/or dental plans offer employees and their eligible dependents that have elected coverage temporary extention of their medical and/or dental coverage. You are responsible for the total monthly rate plus 2 %. (PEHP administers COBRA coverage in accordance with Federal Law, 42 U.S.C. Section 300bb-1 et.seg.)
Please refer to the PEHP Master Policy for more detailed information.
Back to Top
|
|
|
