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The Atlanta Plumbers & Steamfitters Health and Welfare Fund ("the Fund") is conducting an Open Enrollment for spouses and dependent children from August 17, 2020 – September 21, 2020, for coverage effective January 1, 2021.
This year, action is required, even if you are not making changes to your enrolled dependents.
Even if you have no changes to your existing dependent coverage election, you must act to verify that your existing dependents continue to meet the Fund’s definition of Dependent. Please refer to the enclosed notice regarding the Dependent Verification Initiative (DVI) for further details and instructions. If you do have changes to make, such as adding or removing dependent coverage for your spouse and/or dependent child(ren), you may do so during the Open Enrollment period.
Important Notes:
Please keep in mind that changes are only permitted during Open Enrollment, unless you have a qualifying event. Please see the reverse side of this letter for more information regarding qualifying events. The next Open Enrollment period will be held in August 2021 (for changes that will be effective on January 1, 2022)
Opportunities for Special Enrollment.
Members who are eligible to enroll in the health plan but choose not to do so, or who choose not to enroll some of their dependents, usually have to wait until an Open Enrollment period to make changes. You may not have to wait until Open Enrollment to make changes, however, under the following circumstances: If you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment 30 days after the marriage, birth, adoption, or placement for adoption. If you or your dependents (including your spouse) become eligible for a state premium assistance subsidy from Medicaid or through a state children's health insurance program with respect to coverage under this plan, you may be able to enroll yourself and your dependents in this plan. However, you must request enrollment within 60 days after your or your dependents' determination of eligibility for such assistance.
If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing towards your or your dependents' other coverage). However, you must request enrollment within 30 days after your or your dependents' other coverage ends (or after the employer stops contributing toward the other coverage). If you decline enrollment for yourself or for an eligible dependent (including your spouse) while Medicaid coverage or coverage under a state children's health insurance program is in effect, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage. However, you must request enrollment within 60 days after your or your dependents' coverage ends under Medicaid or a state children's health insurance program.
Atlanta Plumbers and Steamfitters Health and Welfare Fund Dependent Verification Initiative (DVI) Instructions
How will I verify my dependents?.
You will be asked to review the plan’s definition of "Dependent" and confirm that each of your enrolled dependents meets the definition. You will also be asked to provide supporting documentation that demonstrates your dependents meet the plan’s definition of Dependent.
What documentation will I be asked to provide?
You will be asked to provide the following documents:
| Dependent Spouse | Dependent Child |
|---|---|
| A copy of the front page of your 2019 federal tax return confirming this dependent is your spouse (please black out all financial information); or If you have not yet filed your 2019 federal tax return, in the interim you may provide a copy of your 2019 tax return extension form showing your spouse’s Social Security Number; however, you must provide the front page of your 2019 federal tax return no later than November 1, 2020 in order to complete the DVI process. |
No documentation is required for your natural children, adopted children or for children for whom you have been appointed legal guardian by the court in anticipation of adoption. If you have enrolled step-children, you must provide a copy of the front page of your 2019 federal tax return confirming your step child’s natural parent is your spouse (please black out all financial information); or If you have not yet filed your 2019 federal tax return, in the interim you may provide a copy of your 2019 tax return extension form showing your spouse’s Social Security Number; however, you must provide the front page of your 2019 federal tax return no later than November 1, 2020 in order to complete the DVI process. |
Need to start your enrollment or make enrollment changes? Click the "Enrollment Website" button below.
Completed enrollment, but still need to upload supporting documents? Click the "Upload Documents" button below.
Interested in minimizing the paper mail you receive from the Fund Office? Please complete the Electronic Consent section of the enrollment process.
If you have any questions, please contact NEBA at 1-888-365-0072 or by email at [email protected]. You may also visit any of our office locations in person.
Links:
Enrollment Documents:
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