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Employers

Employer Bulletin

State Employers
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.

EXAMPLE:

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 insurance premiums.)

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 pre-existing conditions.

Direct questions regarding health insurance eligibility to the Employer Communication Center at (608) 264-7900.

 

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