Things to Consider for Employees These are important things you need to consider before making your enrollment decisions. Eligibility You are eligible for coverage under the benefits plans if you are a full-time employee or a part-time employee scheduled to work at least 30 hours per week and you have completed at least 90 days of employment. You may be covered as an employee or as a dependent — but not both. Dependents may be enrolled under only one parent or guardian.
There is no waiting period for dependents added during open enrollment. Important note: When your dependents become ineligible they will be dropped from coverage. You must submit a status change form within 31 days.You will receive a refund of the premiums you paid for coverage only from the date of your notification.If they are not dropped on time, they are still ineligible for coverage. You will not get a full refund, and you may be responsible for any claims incorrectly paid on their behalf. You can get a status change form from the City of Houston Benefits division. Call (713) 837-9400.
Qualified Family Status Change You may change your coverage
only if you have a qualified family status change.
If you have a family status change, you must submit a status change form and documentation within 31 days of the change. See the "Required Documentation” section.
If you want to enroll or make changes to your current coverage, ask your department human resources liaison for an enrollment or change form. If you do not enroll for benefits during open enrollment, you may apply during the year for coverage in the HMO & PPO plans by completing a medical/dental election form. Your coverage will be effective on the first or the 16th of the month following the 90-day waiting period from the date you submit your enrollment form. You may not enroll in the dental plan until open enrollment in 2006. You may apply for group life insurance at any time. If you apply for first-time coverage or increase your coverage during this enrollment period, you must complete a personal health statement. You will begin paying premiums after the insurance company approves your application.
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