A change to class or division may affect the level of benefits a member is eligible for. You must notify your GroupHEALTH representative when a member changes class or division, along with any resulting salary or occupation changes, within 31 days of the change.
- If the change is not reported within 31 days, then any increase in insurance could be subject to the submission of Evidence of Insurability, and subsequent approval or decline by the Insurer.
- If the member is not Actively Working on the date coverage is eligible to change, then any increase in insurance will take effect only when the member returns to work.
- When you change the member’s class in WEBS™, a preview function allows you to make a quick comparison of the benefits in the current class and the benefits in the member’s new class. If more information is required for the new benefits, WEBS™ will automatically prompt you to enter data.
In some cases, due to a class or division change, a member may become eligible for a higher benefit level based on reported earnings. If this higher benefit amount exceeds the Non-Evidence Maximum on your plan, then the excess portion will be subject to the submission and approval of Evidence of Insurability. In this case, GroupHEALTH will automatically generate a “Non-Evidence Maximum Notification” with your next Billing Statement.