Difference between revisions of "Health Insurance Continuation"
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# FAX the enrollment form to: (503) 813-4426 and (503) 246-3816 | # FAX the enrollment form to: (503) 813-4426 and (503) 246-3816 | ||
# Mail the original signed Enrollment Application to: Kaiser Permanente NW/ Membership Administration / PO Box 921008/ Fort Worth TX 76121-0008 | # Mail the original signed Enrollment Application to: Kaiser Permanente NW/ Membership Administration / PO Box 921008/ Fort Worth TX 76121-0008 | ||
| − | # Have the employee fill out a [http:// | + | # Have the employee fill out a [http://wiki.freegeek.org/images/7/7f/Statecontinuationletter.odt State Continuation Form] and keep it on file in the health insurance file in Richard's office. |
If the terminated employee DECLINES State Continuation: | If the terminated employee DECLINES State Continuation: | ||
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# Record the total at the bottom of the page and pay the appropriate amount. | # Record the total at the bottom of the page and pay the appropriate amount. | ||
# Write your name and phone # at the bottom of the page ("Reported by" section) | # Write your name and phone # at the bottom of the page ("Reported by" section) | ||
| − | # Have the employee fill out a [http:// | + | # Have the employee fill out a [http://wiki.freegeek.org/images/7/7f/Statecontinuationletter.odt State Continuation Form] and keep it on file in the health insurance file in Richard's office. |
''Note'': Employee has options through Kaiser directly. For information, the employee may call 813-2000. (All employees are eligible for state continuation through Kaiser regardless of length of employment). | ''Note'': Employee has options through Kaiser directly. For information, the employee may call 813-2000. (All employees are eligible for state continuation through Kaiser regardless of length of employment). | ||
Latest revision as of 16:44, 15 April 2008
This information was provided by Anna, our insurance broker at Thornton & Associates.
Online
If the terminated employee elects State Continuation of his or her health insurance:
- Have the employee fill out the State Continuation Form.
- Mark the date when we'll stop coverage of them on the HR Calendar.
- Go over the pricing and payment logistics with them.
- Keep the form on file in the health insurance file in Richard's office.
If the terminated employee DECLINES State Continuation:
- Have the employee fill out the State Continuation Form.
- Follow the instructions on the Health Insurance page to remove him/her from our insurance.
- Keep the form on file.
Offline
If the terminated employee elects State Continuation of his or her health insurance:
- On our billing statement:
- Circle the employee(s) eligible for State Continuation.
- Write "6 month State Continuation" next to the terminated employee's name.
- Write the date of employee(s) terminated employment.
- Write your name and phone # at the bottom of the page ("Reported by" section)
- The terminated employee must complete & sign an enrollment application/change form. ("State Continuation" written on the top) & submit their monthly premium to Free Geek.
- FAX the enrollment form to: (503) 813-4426 and (503) 246-3816
- Mail the original signed Enrollment Application to: Kaiser Permanente NW/ Membership Administration / PO Box 921008/ Fort Worth TX 76121-0008
- Have the employee fill out a State Continuation Form and keep it on file in the health insurance file in Richard's office.
If the terminated employee DECLINES State Continuation:
- On our billing statement:
- Line out the employee(s) to be terminated.
- Write, "Please terminate coverage effective ?/?/05*" next to the terminated employee's name. (*coverage is month to month; if the last day of employment was 5/13/05 then the last day of coverage is 5/31/05)
- Write the premium amount that applies in the "Adjustment" column
- Record the total at the bottom of the page and pay the appropriate amount.
- Write your name and phone # at the bottom of the page ("Reported by" section)
- Have the employee fill out a State Continuation Form and keep it on file in the health insurance file in Richard's office.
Note: Employee has options through Kaiser directly. For information, the employee may call 813-2000. (All employees are eligible for state continuation through Kaiser regardless of length of employment).