2014 Open Enrollment
During November all Beloit College benefits-eligible employees are offered Open Enrollment - an opportunity to enroll in or drop coverage under the health, dental or vision insurance plans.
If you have previously waived coverage for yourself and/or your eligible dependent(s), you may now enroll in any of these plans with coverage effective January 1. This includes changing coverage to include eligible family members not currently covered. During Open Enrollment, you may also drop coverage, or switch from one coverage level to another, such as changing from family to limited family or single coverage.
If you are interested in enrolling, terminating, or changing coverage in the Beloit College insurance plans, please complete the applicable forms.
Completed forms must be signed and returned to Human Resources by November 29, 2013.
If you do not enroll or terminate coverage during Open Enrollment, you may only later enroll or terminate under the Special Enrollment circumstances allowed by each plan. For information on Special Enrollment and Termination of Coverage during the plan year, click here.
How does the Affordable Care Act affect our health benefit plan? Beloit College believes the Health Benefit Plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits.
Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at the Beloit College Human Resources Office, 700 College St., Beloit, WI. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at 1-866-444-3272 or http://www.dol.gov/ebsa/healthreform/. This website has a table summarizing which protections do and do not apply to grandfathered health plans. You may also contact the U.S. Department of Health and Human Services at http://www.hhs.gov/.
This year’s open enrollment information includes a document called the Summary of Benefits and Coverage (SBC). The SBC is a document required under the provisions of healthcare reform to help individuals better understand their coverage and provide uniform terms and definitions so that you may easily compare your plan to other plans and products.
Special Enrollment (for changes during the year)—If you previously waived or terminated coverage for yourself and/or your dependents, you may be able to enroll yourself and/or your dependents due to certain qualifying life events. Special Enrollment or change in coverage must be requested within 30 days of the qualifying event. If the change or enrollment does not occur within 30 days of the qualifying event, you must wait until the next Open Enrollment period. Special Enrollment is allowed for events that affect family or life status.
- Acquiring new dependents through marriage, birth, adoption, placement for adoption, or court order
- Loss of eligibility for other coverage due to legal separation, divorce, death, termination of employment or reduction in the number of hours of employment, or exhaustion of extended coverage related to these events
- COBRA coverage under another plan has been exhausted
- Employer contributions under the other plan have been terminated
Termination of Coverage—Terminating insurance coverage during the calendar year may be restricted due to the laws governing the Section 125 pre-tax deduction of premiums. Termination may also include changing from a family or limited family plan to a limited family or single plan to reduce the number of dependents covered. The IRS allows termination or change of coverage for family or life status events.
- Loss of dependent coverage due to legal separation, divorce, death, or a child’s loss of eligibility due to age or dependent status
- An employment status change for you or your spouse
- Entitlement to Medicare or Medicaid
- Significant change in premium cost
- To satisfy provisions of a court order
Requests for termination of coverage must be made within 30 days of the qualifying event. If the request is not made within 30 days of the qualifying event, you must wait until the next Open Enrollment period. Termination of coverage for reasons not qualified by the IRS must also be done during open enrollment to take effect January 1.
If you have any questions about special enrollment or termination of coverage during the plan year, please call the Beloit College Human Resources Office at 608-363-2630.