Vol. 18, State A
April 23, 2001
Additional Health Insurance Enrollment Opportunity for
Employees That Work Less Than Half-Time
This Bulletin clarifies information provided in Employer Bulletin
Vol. 15, State B, dated May 27, 1998. The Health Insurance Guidelines
provide another enrollment opportunity to limited term employees
(LTE) and to less than half-time employees that initially decline
health insurance coverage. Employees whose hours increase to half-time
or more and, as a result, become eligible for the higher share of
employer premium contribution toward health insurance premiums,
have 30 days from the date the employer contribution increases to
file an enrollment application for the State Health Insurance Program.
Coverage becomes effective the first of the month following the
employer's receipt of the application. The employee may select
any offered plan.
An employee in a WRS-covered position appointed to work fewer than
1,044 hours is eligible for less than half-time employer premium
contributions and elects not to participate in health insurance
coverage. The employee later receives an appointment, effective
October 1, 2001, for 1,044 hours or 50% time. The employee now has
an additional enrollment opportunity due to this increase in hours.
The employee can file an application on October 1 for coverage effective
October 1, or the employee can file the application with the employer
on or before October 31, 2001 (30 days from being hired into the
new appointment) for coverage effective November 1, 2001.
When processing the health insurance applications for these employees,
check the "Other" box in the section entitled "reason
for submitting application" and insert "WA 202".
(WA 202 stands for Wisconsin Act 202, a bill giving LTE's and
less than half-time employees who decline health insurance coverage
when first eligible, another enrollment opportunity whenever two
conditions are met simultaneously; hours increase and the employee
qualifies for a higher share of employer contributions toward health
Employees who fail to enroll during this additional enrollment
opportunity will only be eligible to elect insurance coverage under
the Standard Plan with a six-month (180--day) waiting period for
Direct questions regarding health insurance eligibility to the
Employer Communication Center at (608) 264-7900.