Reminder ~ Monthly Employee Status Changes


This year has been a very busy year legislatively with several new laws and regulations put into place. We are here to help you understand and comply with these new regulations. If you aren’t sure about your plan’s enrollment guidelines, please contact us.


New Hires

Enrollment applications must be fully completed and received by Summit Insurance at least one (1) week prior to the employee’s eligibility date. This allows us and the carrier enough time to process the application and for the employee to have his/her ID card in hand when coverage begins.

Applications received on or after eligibility date will be declined and the employee will have to wait until your group’s next open enrollment to get coverage if they don’t have a Qualifying event.

Qualifying Events Include:

  • marriage/divorce
  • birth/adoption of child
  • loss of ACA compliant coverage
  • change in full-time employment status

New Federal laws prohibit late enrollments and it is being strictly enforced by the carriers.


Terminations

Please also be sure to notify us of employee coverage terminations as soon as they occur to avoid additional premium charges. New Federal HealthCare Reform laws prohibit most retro terminations, except in cases of fraud or misrepresentation of material fact.

All termination requests must be in writing (fax or scan/email) on the appropriate carrier forms. If you need your carrier’s termination forms please go to our Forms page to download a copy.

Please remember that it is the employers responsibility to add and delete employees in a timely manner. In order to avoid delays, please be sure all enrollment/termination forms are completely filled out.

We appreciate your business and the opportunity to be of service to you and your employees. If you have questions please let us know.