Eligibility
Employer groups must have two or more full-time, unrelated
employees (Husband and wife employees count as one). Proof of a group
medical plan is required for groups of less than 5 employees
Benefit Selections
Benefits are selected by the group and not the employee. For
Example: Orthodontia benefits are available to all employees of the group and cannot be
individually selected.
Contribution/Participation
The Employer must contribute a minimum of 50% of the employee premium.
75% of the eligible employees must participate, 100% must participate if the employer contribution
is 100% of the employee premium. Employees covered by a spouse's group plan
do not have to participate.
Employees
All employees of the employer who are performing active work on a
full time basis (20 hours a week or over) are eligible for benefits including corporate
officers, owners, or partners.
Dependents
All eligible dependents can enroll on the
original effective date.
Dependents can also be added for a
later effective date if they are newly eligible or as part of an open enrollment
process.
Eligible dependents include legal spouse
or domestic partner and children to age 26.
The employer is responsible to report any changes to a
dependents eligibility to Wolfpack Insurance Services, Inc.
Newborn children do not need to enroll until just before the first
appointment, usually before age 4.
Domestic partners
are defined as same-sex and opposite-sex
couples registered with any government agency authorizing such registrations.
Your domestic partner is subject to the same terms and conditions as any other
Dependent enrolled in this plan.
Open
Enrollment
Any employee who waived off the plan at
initial enrollment may elect coverage on the anniversary date of the groups
enrollment.
Any dependent who did not elect coverage when the plan was established may elect
coverage on the anniversary date of the groups enrollment.
If the employee had coverage through their spouse, they may be added the first
of the month after the loss of the other coverage.
Effective date
When a firm joins the Plan, the coverage of its current employees
will be effective on the first day of the month following approval of the firms
application to participate. Additions to your plan will be effective the first of
the month after the elected probationary period from their date of hire.
We have two renewal periods:
Groups that enroll from January 1st through June 1st renew
on January 1st.
Groups that enroll from July 1st through December 1st renew
on July 1st. |