
Medical Plan 1 Summary
Health Document Plan Booklet (EOC)
Medical Plan 2 Summary
How to Read BCBCS Statement (EOB)
Premium rates
How to Pay Premiums on LOA/FMLA
EHS Corporate Write-offs
Adding a Newborn
Medical/Dental Enrollment/ Termination/Change Form
Blue Cross Website
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 in Network “P” under group
number 89550. Although there is only one health benefit plan,
the plan has two options:
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
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.