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Changes for 2008

Important Notices About Medical Coverage

Health Insurance Portability and Accountability Act of 1996 Notification for Medical Program Eligibility (HIPAA)

If you are declining enrollment for yourself or your eligible family members because of other medical insurance or group medical plan coverage, you may be able to enroll yourself and your eligible family members in a UC-sponsored medical plan if you or your family members lose eligibility for that other coverage (or if the employer stops contributing toward the other coverage for you or your family members.) You must request enrollment within 31 days after you or your family member's other medical coverage ends (or after the employer stops contributing toward the other coverage).

In addition, if you have a newly eligible family member as a result of marriage/domestic partnership, birth, adoption, or placement for adoption, you may be eligible to enroll yourself and your family member(s). You must request enrollment within 31 days after the marriage/partnership, birth, adoption, or placement for adoption.

If you do not enroll your family member(s) within the 31 days when first eligible, you may enroll them at a later date. However, each member will need to complete a waiting period of 90 consecutive calendar days before medical coverage becomes effective, or you can enroll them during the next Open Enrollment period.

To request special enrollment or obtain more information, contact your local Benefits Office.

Certificate of Creditable Coverage

When you and/or your eligible family member cancel or change UC-sponsored medical coverage, you will receive a Certificate of Creditable Coverage from your former medical plan.

Your new insurance carrier may need this certificate if the plan/policy would otherwise exclude coverage or impose a waiting period for certain pre-existing medical conditions. If you transfer from one UC plan to another, you do not need to provide the certificate.

Contact your medical plan directly if you need a certificate and did not receive one.

Notice to Employees in the Registered Nurse, Patient Care Technical, and UC Merced Skilled Crafts Bargaining Units 

Changes in employee contribution rates for medical plan options are subject to negotiations with unions representing employees in bargaining units for which the contract is expired or for which the parties are currently engaged in negotiations.

Changes in employee contributions for 2008 announced in the Open Enrollment communications that are being issued to all participants will not become effective for employees in the Registered Nurse, Patient Care Technical, and UC Merced Skilled Crafts Units until the University and their unions' representatives reach agreement or until otherwise implemented in accordance with the requirements of HEERA.

Due to operational requirements, the medical plan options made available on the website and in written communication to all employees during Open Enrollment will reflect the new employee contribution rate for all participants.

Employees in the Registered Nurse, Patient Care Technical, and UC Merced Skilled Crafts Units can make enrollment changes during Open Enrollment, and they will be charged the applicable employee contribution rate until the University and their unions' representatives reach agreement or until otherwise implemented in accordance with the requirements of HEERA.

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