For Plan Year 2013 The Qualifying Event Period for 2013 is September 1, 2011 - August 31, 2012
A Qualifying Event is a specific course of action to be completed by a Member to determine which “YourChoice” Health Plan the Adult Member or Family Child Group is enrolled in for the Plan Year until the next Qualifying Event period.
The Qualifying Event Period is between September 1 and August 31
The Plan Year is January 1 through December 31
Qualifying is based upon age according to Evidence Based Guidelines and may be adjusted annually. For more information, refer to your annual qualifying events packet or download the forms below.
“YourChoice” BETTER Health Plan for Adults & Children - 6 Month Probation Period
All new employees, spouses, and dependents enrolled in the plan will automatically be placed in the BETTER Plan for a 6 month period following their Benefits Effective Date: no qualifying events are required.
“YourChoice” BETTER , BEST or Ultimate Health Plan - Upgrade
After a 6-month probationary period all new employees, enrolled spouses, and enrolled dependents are eligible to remain in the BETTER Plan*, or to upgrade to the BEST or ULTIMATE Plan by completing the applicable Qualifying Events listed above. *Children age 18 and under will remain in the BETTER Plan if the ULTIMATE Plan Qualifying Events are not completed as they are not eligible for the BASIC or BEST Plan Levels.
New employees, spouses, and dependents age 19 and over not completing the BETTER, BEST or ULTIMATE Plan qualifying events are automatically placed in the BASIC Plan until the next Qualifying Event Period.
The Qualifying Events and New Enrollee Worksheets must be completed and submitted within 90 days of the Benefits Effective Date. No Exceptions.
The new Benefits Effective Date for the elected Plan is the 1st day of the 7th month from the original Benefits Effective Date.
