Plan Name Change
United Health of Wisconsin (carrier suffix .94) has changed its name to Touchpoint Health Plan (carrier suffix .94). No action by the participant is necessary as a result of the name change.
General Information about Dual-Choice
Dual-Choice provides an opportunity for insured employes to change health insurance plans and/or change from single to family coverage without a waiting period for pre-existing conditions.
Even if employes want to continue participating in their current plan, they should still do the following:
Completed applications to change plans must be turned in to employers no later than 4:30 p.m., Friday, October 22, 1999.
Employes may select any alternate plan regardless of their resident counties, but should be sure that the providers are within reasonable distance for medical care. It’s Your Choice identifies geographic areas covered by each plan.
The Dual-Choice period for active and retired employes, as well as former employes who have continued their insurance, takes place simultaneously.
ETF and/or the plans will mail It's Your Choice booklets, complete with special application forms, directly to retirees and former employes (health insurance continuants). If you have employes that want to change plans and who will retire effective January 1, 2000 or later, they must complete applications as active employes. Changes in annuitant coverage will be handled by ETF when employes apply for annuitant benefits. However, employers with employer paid annuitants should provide these subscribers with the 2000 It's Your Choice booklets.
It's Your Choice booklets must be distributed in a timely manner to all insured employes. These include:
ETF does not distribute Health Insurance Applications (ET-2301) in It's Your Choice, due to the small percentage of employes actually electing to change health plans during Dual-Choice. To request these forms, or if you need Health Insurance Information Change forms (ET-2329), contact ETF Supply and Mail Services Section at (608) 266-3302. Indicate your Employer name and Identification Number (EIN), location, form name and number, and the quantity of forms desired. Please indicate that your request is Dual-Choice related.
Procedure for New Employes
New employes initially eligible for coverage on November 1 or December 1, 1999 must file two applications during their regular enrollment period if they wish to enroll in a different plan for 2000. The first application covers the period from the date of initial coverage through December 31, 1999. The second application changes their health insurance to the plan of their choice for 2000, and must have the "Dual-Choice" box checked.
Procedure for Employes Who Terminate in November or December After Making a Dual-Choice Election
For employes terminating in November or December after making a Dual-Choice election, the plan they elected during Dual-Choice is the plan to record in the "plan information section" of the Continuation-Conversion Notice (ET-2311).
If an employe's termination date is such that he or she will still be eligible for health insurance coverage after January 1, 2000, and the employe has also notified your office within 30 days of a move, a new health insurance application must be submitted and the appropriate Transfer, Deletion and Addition Reports attached to the corresponding Coverage Reports. In this instance, the plan information indicated on the Continuation-Conversion Notice (ET-2311) should reflect the new plan.
If an employe's move occurred after the termination date but prior to the date the coverage ends, report the applicable change as you would for any other active employe. However, if the effective date of the move is the same as or after the date the coverage ends, ETF will make the applicable plan contacts.
Procedures for Withdrawing Dual-Choice Elections
Employes may rescind Dual-Choice elections by notifying their employers in writing prior to December 31, 1999. The written request should be filed with the employe's records. When you receive a request to rescind, make two copies of your ply of the Dual-Choice application and write "Rescind" across each copy. Forward one copy to the current plan and the other copy to the plan indicated as "Plan Selected".
Please contact the Division of Employer Services at (608) 264-7900 with all questions associated with health insurance eligibility and reporting, including any concerns related to Dual-Choice or this specific Employer Bulletin.