You have a new dependent due to:

Birth, Adoption or Placement for Adoption

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity?

Yes, also includes birth of grandchild from your covered dependent under age 18

(Your grandchild becomes ineligible at the end of the month in which the parent, your dependent, turns age 18)

Yes
Change coverage (single-family or family-single)? Yes Yes
Change health plan? Yes n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes, employees must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application 

To enroll: File an application or enroll online within 60 days of the event

To change or cancel: File an application within 30 days of the event

File an application or enroll online within 60 days of the event
Effective date

Coverage becomes effective on the date of the event for new coverage or for a plan change, the first of the month following the receipt of the application

If approved to cancel, coverage will end the last day of the month after your other coverage begins

Coverage becomes effective on the date of the event, for new coverage or for a plan change, the first of the month following the receipt of the application

If approved to cancel, coverage will end the last day of the month after your other coverage begins

National Medical Support Notice

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? Yes Yes
Change coverage (single-family or family-single)? Yes, single to family Yes, single to family
Change health plan? Yes n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes, employees must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application  To enroll: File an application or enroll online within 60 days of the event

To change or cancel: File an application within 30 days of the event
File an application or enroll online within 60 days of the event

Paternity

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? Yes Yes
Change coverage (single-family or family-single)? Yes, single to family Yes, single to family  
Change health plan? Yes n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes, employees must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application  To enroll: File an application or enroll online within 60 days of the event. Children born outside of marriage become dependents of the father on the date of the court order declaring paternity, on the date the acknowledgement of paternity is filed with the Department of Health Services (or equivalent if the birth was outside of the state of Wisconsin) or on the date of birth with a birth certificate listing the father's name

To cancel or change: File an application within 30 days of the event
File an application or enroll online within 60 days of the event.
Effective date The effective date of coverage will be the birth date, if a statement of paternity is filed within 60 days of the birth. If filed more than 60 days after the birth, coverage will be effective on the first of the month following receipt of application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins The effective date of coverage will be the birth date, if a statement of paternity is filed within 60 days of the birth. If filed more than 60 days after the birth, coverage will be effective on the first of the month following receipt of application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins
  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? Yes Yes
Change coverage (single-family or family-single)? Yes, single to family Yes, single to family
Change health plan? No n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes, employees must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application  To enroll: File an application or enroll online within 60 days of the event

To change or cancel: File an application within 30 days of the event
File an application or enroll online within 60 days of the event
Effective date Coverage becomes effective on the date of the event for new coverage or for a plan change, the first of the month following the receipt of the application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins Coverage becomes effective on the date of the event for new coverage or for a plan change, the first of the month following the receipt of the application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins

Transfer of Custody

  Health Insurance & Uniform Dental Supplemental Benefits
Enrollment opportunity? Yes Yes
Change coverage (single-family or family-single)? Yes - Single to Family Yes, single to family.  
Change health plan? No n/a
Drop a dependent and keep family coverage? No No
Cancel coverage? Yes, employees must provide proof of other health coverage for review and approval prior to cancellation Yes
Deadline to submit application  File an application or enroll online within 30 days of the event File an application or enroll online within 30 days of the event
Effective date Coverage becomes effective on the date of the event for new coverage or for a plan change, the first of the month following the receipt of the application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins Coverage becomes effective on the date of the event for new coverage or for a plan change, the first of the month following the receipt of the application. If approved for cancellation, coverage will end the last day of the month after your other coverage begins

 

You may not be eligible for all benefits discussed on this page. Speak with your employer to see what benefits are available to you. 

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