How to Enroll

Special Enrollment

If you initially declined enrollment due to already having coverage through another health plan and you lose eligibility for your existing coverage, then you must enroll in the Plan for benefits coverage. Send a request to the Fund Office within 30 days of losing your coverage to enroll in the Plan.

Enrollment opportunities are also available for you and your dependents if you lose coverage or become eligible for Medicaid or a State Children’s Health Insurance Program (CHIP) coverage. However, you must request enrollment within 60 days after the coverage ends or within 60 days after you are determined to be eligible. Contact the Fund Office for more information.

Coverage Reinstatement

You lose eligibility for coverage under the Plan:

• On the last day of the calendar month in which you do not meet the requirements to be eligible or continue eligibility
• When any contribution required on your behalf is due and unpaid
• If you or your employer notifies the Plan that coverage is to be terminated
• If you are called to full-time active duty for Uniformed Services
• If the Plan is discontinued

Your dependent(s) will lose eligibility for coverage under the Plan:

• On the last day of the calendar month in which your dependent no longer meets the definition of an eligible dependent
• When your (active employee) eligibility ends
• If the Plan is discontinued

Coverage reinstatement is available if your eligibility ends for at least one month and you begin working for your former employer without loss of seniority. You will reinstate your eligibility if you elect to make voluntary self-payments for the weeks your employer did not make contributions to the Fund on your behalf.

If you do not elect to make voluntary self-payments, you will need to meet the Plan’s initial eligibility requirements to reinstate your coverage eligibility.

Note: When your or your dependent’s coverage ends, you may be eligible to continue coverage at your own expense through COBRA continuation coverage.

Retiree In-and-Out Program

Retirees can postpone or suspend coverage for themselves and/or eligible dependents under the Plan due to receiving medical coverage under another group plan. This program allows you to suspend your coverage while maintaining eligibility to participate in the Plan at a later date when you are no longer covered under another group plan.

To suspend or reinstate your coverage, you must contact the Fund Office for more information.

Opt-Out

You will have a one-time opportunity to suspend coverage for:

• You and your dependents or
• Your dependents only

Coverage will be suspended on the first day of the month following the month after the application was received by the Fund Office.

Opt-In

To resume retiree coverage, you must:

• File a written application for retiree coverage with the Fund Office within 30 days of the date that your other coverage ends
• Provide proof of continuous coverage under another group plan that you and/or your dependents have had since the date of retiree coverage suspension
• Make the required self-payments for retiree coverage

Retiree coverage will resume on the first day of the month following the month in which you apply to resume retiree coverage, as long as you make the required self-payments for coverage. Once you opt-in to medical coverage, you can choose to opt-in to dental or vision coverage, both, or neither. If you choose not to resume dental and/or vision coverage, you cannot elect that coverage at a later date.