A member may request to add Extended Health Care and/or Dental Care benefits that were previously waived due to spousal coverage or other secondary employer benefits.
- In a situation where the spousal coverage or secondary benefits are ending (i.e. the spouse’s plan is terminating, or marriage separation or divorce), the member must request coverage within 31 days of the spouse’s plan ending. In this case, the GroupHEALTH coverage start date must be the day after the other benefit plan ends. If the member does not request the change within 31 days, the member (and any eligible dependents) may be considered Late Applicants.
- In a situation where the spouse’s coverage does not end, but your member now wishes to add Extended Health Care and/or Dental Care benefits, the member (and any eligible dependents) will be considered Late Applicants and medical evidence will be required.
Tip!
In WEBS™, you can add previously waived benefits to the member’s Benefit Profile, and the system will automatically prompt you to provide the reason why.