Erlanger offers a health
benefit plan through BlueCross BlueShield of Tennessee (BCBST). The Health
Benefit Plan is a self-insured PPO plan and is administered by BCBST. Although
there is only one health benefit plan under group number 89550, the plan has
three options: two options in Network “S” and one option in Network
“P”
Eligibility
To be eligible for the Health Benefit Plan, you must be
hired to work a minimum of 19.5 hours per week (0.52 – 1.00 FTE) and be
classified as a regular employee. An employee may elect
individual or family coverage.
Enrollment
Eligible employees may enroll in individual or family
health coverage within 31 days of their hire date; or within 31 days of a
qualifying event. Eligible employees may also enroll in the Health Benefit Coverage during
any Open Enrollment Period.
Effective Date of Coverage
New
Hires
The effective date of the Health Benefit Plan coverage will be the first of
the month following the initial one-month waiting period from an employee’s hire date.
Qualifying
Events
Qualifying events that allow an employee to
enroll, terminate or make changes outside of the annual enrollment period are:
marriage, divorce, birth/adoption, spouse/dependents losing health coverage
through no fault of their own; becoming eligible for Medicare; or transferring
from an ineligible position (below 0.52 FTE) to an
eligible position (0.52 FTE or above).
Birth/Adoption:
Coverage becomes effective the date of the birth
Marriage:
Coverage becomes effective the date of the marriage
Divorce:
Coverage becomes effective the day after the divorce
Loss of
coverage: Coverage becomes effective the day after coverage
ends
Transfer from ineligible: Coverage becomes
effective the first of the month following the to eligible position initial
one-month waiting period from an employee’s transfer date
All qualifying events require completion of the
Medical/Dental Enrollment/Change Form and appropriate documentation of the event
must accompany the form (i.e. birth certificate, divorce decree, etc.). The form
and documentation must be submitted to the Benefits Department within 31 days of
the event. If the completed form and documentation are not submitted to the
Benefits Department within 31 days from the qualifying event, the next opportunity to enroll, terminate or
make changes to the Health Benefit Plan will be during the next open enrollment period.
How to
Contact BlueCross BlueShield of Tennessee
You may
contact BlueCross BlueShield of Tennessee by telephone 1-800-565-9140 or
through their website at www.bcbst.com. Please have your health insurance card
ready with account information.
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