FAQ: What Are Benefit Elections?

What is change benefit election?

Life event changes allow you to make certain election changes outside Annual Benefits Enrollment. Generally, your changes will become effective on the date of your qualifying event (date of birth, marriage, etc.). Marriage.

What are insurance elections?

Election Window — the period during which an insured under a claims-made policy may purchase an extended reporting period (ERP), following expiration or cancellation of the policy. Election windows are usually a minimum of 10 days and in some instances as long as 90 days.

What does benefit event date mean?

Benefit Effective Date means the date on which an Employee’s Election becomes effective. In general, the Benefit Effective Date will be the July 1 following the Open Enrollment Period each year.

What is active benefit?

An active enrollment requires employees to decide and choose a benefits selection each enrollment period —as opposed to passive enrollment, where employees are automatically re-enrolled in their current selection, with little or no involvement in the process.

Can you drop benefits at any time?

You can cancel your individual health insurance plan without a qualifying life event at any time. On the other hand, you cannot cancel an employer-sponsored health policy at any time. If you wanted to cancel an employer plan outside of the company’s open enrollment, it would require a qualifying life event.

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When can I change benefits?

You usually have 60 days from the life event to enroll in a new plan, but you should report your change as soon as possible.

What is a cafeteria benefit plan?

A cafeteria plan is a separate written plan maintained by an employer for employees that meets the specific requirements of and regulations of section 125 of the Internal Revenue Code. It provides participants an opportunity to receive certain benefits on a pretax basis.

What is a qualifying event for health insurance?

A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.

What is a qualified change in status?

Qualified status changes include: If you have or adopt a child, or there’s a change in legal custody of a child. Death of a spouse or child. Change in employment status that results in a loss or gain of benefits, such as beginning or ending employment, change in hours, or an unpaid leave of absence.

What is positive enrollment?

Positive enrolment is a mandatory step in accessing your benefits under the PSHCP. It requires Plan members to provide information about themselves and their eligible dependants so that Sun Life can maintain your member file and process your claims.

What is a benefit enrollment?

If you work in HR, you might know benefits enrollment is defined as a period when employees can enroll in services offered by the company as part of an overall benefits package. During open enrollment employees can enroll in new benefits, confirm existing benefits or make changes.

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What is a passive benefit?

What is Passive Enrollment? Passive enrollment is a benefits enrollment strategy that employers use to simplify benefits enrollment and maintain benefits participation. Employers using a passive benefits enrollment strategy simply roll over each employee’s benefit elections from the previous enrollment period.

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