FREQUENTLY ASKED QUESTIONS ELIGIBILITY 7. Can I use authorized, unclaimed hours from a previous month to satisfy my hour requirement in a subsequent month? No. For the purpose of health care insurance eligibility, hours are only applicable to the month in which they are authorized, not when they are claimed or paid. 8. How do I enroll for coverage?
n Individual Provider: Log on to www.myseiubenefits.org to complete enrollment or call the Member Resource Center at 1-866-371-3200.
HOW DO I ENROLL FOR COVERAGE? n Individual Provider: Log on to www.myseiubenefits. org to complete enrollment or call the Member Resource Center at 1-866-371-3200.
n Agency Provider: Contact your employer to coordinate your enrollment.
n Agency Provider: Contact your employer to coordinate your enrollment. 9. How many hours do I have to work for continuing coverage? After your coverage begins, you must work at least 86 hours each month to have continuous coverage. 10. I don’t have enough hours some months resulting in a lapse in coverage, do I have to meet the initial eligibility requirements again? If you are not covered by the plan for 12 months in a row, you will need to requalify for the initial eligibility requirements. 11. I work for a Home Care Agency and I’m also an Individual Provider. If I’m currently enrolled in my agency employer’s plan, can I terminate that coverage and enroll in the Health Benefits Trust as an Individual Provider instead of keeping my agency plan? Yes, but please keep in mind the initial eligibility requirements when determining your cancellation date. You’ll need to keep your current plan until your coverage as an Individual Provider begins. NOTE: You cannot be covered under both the Health Benefits Trust as an Individual Provider and another employer’s plan. 12. What happens if I work less than 86 hours in a month after I am enrolled in the plan?
Your coverage will terminate the first day of the following month.
2013-2014 BENEFITS BOOK
61
BENEFITS POLICIES
For all Grandfathered Agency Providers - (this means you were an Agency Provider and must have had health care coverage by the Trust in the month of September 2011).