Department of Human Resources & Personnel
Open Enrollment - Health Care Insurance [2009-2010 Plan Year]
What
Is Open Enrollment?
The annual Health Insurance Open Enrollment period provides you with
an opportunity to switch your employer- sponsored medical and dental
insurance carriers and/or add eligible dependents, including sponsored
dependents to your insurance policy.
If you fail to make these changes within this time period, your next opportunity
to do so will be during the next open enrollment period in the year
2010. You are not required to make a change to your health or dental
insurance plan[s] if you do not wish to do so.
Eligibility
In general, all active employees eligible for health benefits administered
by Wayne County are eligible to change their current health insurance carrier[s].
If you are a New Hire or Rehire, your current collective bargaining
agreement [CBA] or benefit plan may require that you be covered by
the plan of the Employer’s choice for one year for both medical
and dental benefits. That year must be completed by October 1st of
this year. If you have not been covered by these plans for at least
one year by this October 1st, you may not switch to a different insurance
plan during this open enrollment period. However, you may add eligible
dependents at this time.
If you are an Active Employee, you may be limited by your labor agreement to enrollment
in specific insurance plans. Check your current CBA or benefit plan
to determine if you are eligible for enrollment in the new plan you
have selected. Enrollment changes that are prohibited under the terms
of the appropriate labor agreement will not be honored.
Individuals enrolled in COBRA health care continuation plans administered by the
Wayne County Benefits Administration Division are entitled to make changes
during the open enrollment period as if they were active employees.
All changes made will be subject to COBRA premium rate changes effective
October 1st.
Eligible Dependents include spouses, dependent children up to age 18 and those aged 19 to 25
with proof of dependency or permanent disability; principally supported
children after 9 months of proven support; and other legal dependents
related by blood or marriage and as defined by the IRS. A payroll
deduction may apply for some dependents age 19 and over.
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Changing Plans
To change medical and/or dental insurance carriers/plans, you
must provide the following forms:
- Open
Enrollment Change Form [.pdf] identifying the plan change(s) you want to make;
- Enrollment/Change
of Status Form [.pdf]
- If you
are Opting Out, Healthcare Opt Out form (15%) [.pdf]
Healthcare Opt Out form - Elected Officials, Judges & Commission Employees [.pdf]
Adding Dependents
To add eligible dependents not currently covered under your insurance plan, you must provide the following:
- Open
Enrollment Change Form [.pdf] identifying
that you are adding a new dependent[s];
- If you
are also changing insurance plans— Add dependent information
to the Enrollment/Change of Status Form [.pdf]
- If you
are not switching insurance plans — Complete an Enrollment/Change
of Status Form [.pdf].
- Proof
of Eligible Relationship to employee; this includes marriage
certificates, birth certificates, or other proof of eligible relationship.
- If the dependent is a child between the ages of 19 through 24, you must complete a IRS Form 4506 T Form and you may provide Proof of Full-time Student Status [letter from school registrar]
to avoid the monthly payroll deduction specified in your labor agreement.
- If the
dependent is a permanently disabled child, you
must provide Proof of Total and Permanent Disability [certified by a physician].
Provider Links
Have questions?
Call
the Benefits Administration Office at:
(313) 224-7721
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