TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
SECTION 2210.350 ANNUAL OPEN ENROLLMENT PERIOD FOR MEDICARE-PRIMARY MEMBERS ELIGIBLE FOR THE TRAIL PROGRAM


 

Section 2210.350  Annual Open Enrollment Period for Medicare-primary Members eligible for the TRAIL Program

 

a)         To be eligible for the TRAIL Program the Member, and all covered Dependents, must be enrolled in Medicare Parts A and B and be a resident of the United Sates or a U.S. Territory.

 

b)         The Agency shall conduct an annual open enrollment period during which all eligible Retired Employees, Annuitants, and Survivors may make changes to their benefit elections under the TRAIL Program.

 

c)         The Agency shall annually determine the beginning date and ending date of the TRAIL annual open enrollment period. The enrollment period must last at least 30 calendar days.

 

d)         All annual open enrollment period elections will be effective as of the beginning of the next Plan Year.

 

e)         All newly eligible members may enroll into the TRAIL Program during the annual open enrollment period.  Failure to make an election to enroll into the TRIAL Program will result in termination of coverage.

 

f)         Eligible individuals may make the following elections during the open enrollment period:

 

1)         Elect not to participate in the program;

 

2)         Enroll or re-enroll in the program if the Member had previously elected not to participate;

 

3)         Add or drop dental coverage; or

 

4)         Add or drop coverage for eligible Dependents.