MEDICAL BENEFITS

Package Information

 

Insurance Carrier:  Health Net

Employee Eligibility:  

  • Must be employed 90 days prior to the start of insurance

  • Must be scheduled to work a minimum of 40 hours or more per week on a regular basis

Employer Obligations:

  • Account Setup

  • Employer will pay 50% of the employee cost only at the lowest cost plan (WholeCare HMO Silver $50).  Spouse and any dependent(s) are the responsibility of the employee; employer will not pay any costs for a spouse or dependent(s).

Employee Obligations:

  • Should the employee choose to upgrade to any plan above the lowest cost plan (WholeCare HMO Silver $50), the employee will be responsible for the additional cost of upgrade of his or her chosen plan.

  • Should the employee choose any additional plans (i.e. dental, vision), the employee will be responsible for 100% of the cost of such plans.

  • Once coverage has been declined or terminated, an employee may not apply for coverage again until the open enrollment period. However, there are special enrollment periods available due to a marriage, a birth, or loss of prior coverage, etc.

  • When terminating coverage, the employee must notify administration (in writing) one month prior to termination date.

  • Proof of previous medical coverage may be required for enrollment.