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Policy/Memo 67r1

Number: Policy Memo 67r1
Date Issued: June 8, 1993
Date Revised: September 28, 1993
Policy File Ref: A210

ISSUE:

Resolution of different effective dates for changes of coverage for State retirees and State Participating Employer retirees.

Background:

The General Information Booklet for retirees of Participating Employers states that when a PE retiree acquires a new dependent and requests a change from Individual to Family coverage, the "7 day rule" will apply. This means if the retiree applies for the change within the 7 day period following the date the dependent was acquired, Family coverage will be effective on the date the dependent was first eligible. If coverage is requested after the 7 day period but within 30 days, coverage begins on the first day of the following month. If after 30 days, late enrollment is applied.

The General Information booklet for State retirees indicates that the coverage effective date will be the date of first eligibility if application is made within one month of date of the event (no 7 day rule). If application is made after one month, late enrollment applies.

Both of these procedures have since been altered to conform to the State law that requires a 30 day application period when a change is requested to provide coverage to a newborn child.

Policy:

Until the General Information Booklets are revised, the more liberal State retiree procedure will also apply to PE Retirees. When the State Retiree Booklet is revised, the procedure will be the same as that which is currently described in the Booklet for PE Retirees (except for changes requested for newborns).

Note: Bold material is new.