**Employees are eligible to elect or waive coverage when hired.
EMPLOYEE ELIGIBILITY: If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.
DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.
What is a Qualifying Life Event?
Anthem will remain as your Medical benefit provider.
You may go to any doctor/provider however, those who are in the Anthem network will be more cost effective. Employees who seek care outside of Anthems network will be responsible for higher costs.
Preventive Services Covered at 100%
All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive, and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.
What is considered a preventive service?
**Please refer to attached Summary of Benefits and Coverage (SBC) for more complete plan details**