GENERAL ENROLLMENT FAQS
Q. Who is eligible for coverage?
Full time permanent employees working 32 hours/week or more.
Q. When does my coverage become effective?
A person is eligible for coverage on the first day of the month after 60 days of
full time employment.
Q. When am I eligible to enroll?
-When you are first hired, or
-If you lose other coverage (spouse's, etc), or
-If applicable, at open enrollment (June of each year, effective July 1st)
Q. When should I enroll?
Send in your completed paperwork shortly after you are hired to assure that you receive your ID cards by your effective date. Do not wait until after your waiting period has expired. Send paperwork to our broker: Resource Equity Group P.O. Box 5556, Greenville, SC 29606, or fax to 864-242-0698, or email to firstname.lastname@example.org.
Q. Who can I call for assistance with enrollment and ongoing customer service?
Call our broker in Greenville at 864-235-9999.
MEDICAL COVERAGE FAQS
Q. What coverage is available during my waiting period?
You may have an option under your previous employer's plan to continue coverage under Cobra, or if you were employed by a firm with under 20 employees, the state mandated continuation provision under the plan. Contact your prior carrier, or you may call our broker at 864-235-9999 for assistance,
and to obtain a "bridge" policy.
Q. Are pre-existing conditions covered?
Yes, pre-existing conditions are covered under your plan.
Q. Are referrals to specialists required?
No, referrals are never required under the plan, however, prior authorization must be obtained prior to a hospital admission, and under certain circumstances. Refer to your certificate of coverage.
Q. Am I covered while traveling out of state?
Yes, you are covered while traveling anywhere in the country.
Q. What medical providers do I use?
You are covered with all providers. Your plan does not have a "network".
Q. How do I file a medical claim?
Providers will file your claim for you. Simply present your ID card to the provider.
Q. Are prescription drugs covered?
Yes, prescription drugs are covered through your retail pharmacy as well as through Caremark's mail service program. Click here to find the online forms and click here to visit the Caremark site.