A member’s coverage is normally terminated on the last day of employment. Claims paid after a member’s termination may affect your plan’s claims experience and could affect renewal rates.
Tip!
- Advise the member (and spouse) of their right to apply to convert their Life Insurance coverage to an individual policy when coverage reduces or terminates. The member has 31 days to convert, if they meet eligibility so it is important you give the member the information in a timely manner.
- Remind terminated members that they have 90 days from their termination date to submit any eligible claims incurred prior to their termination date, or as defined in your Benefits Handbook(s).
Please report any terminations to GroupHEALTH as soon as possible. In WEBS™, change the member’s status from Active to Terminated and enter the effective date. Please note if the member is terminated on the 1st day of the month, premiums will be charged for that month.