Page 38 - Demo

An employee changing employment to another participating employer (or rehired by the same employer) must enroll via the bswift Enrollment Portal or have the Benefits Administrator submit a change in the Third-Party Enrollment Portal and choose the same plan. The employee cannot change his or her current plan option for the remainder of the plan year unless a special enrollment event occurs. Dependents cannot be added to coverage unless a special enrollment event or plan enrollment period occurs. Plan year deductibles, out-of-pocket maximums and other accumulators will follow and apply to the employee and his or her covered dependents. If the dependent of an employee who is currently not employed with a TRS-ActiveCare employer becomes an employee of a TRS-ActiveCare employer and chooses to enroll in his or her own plan, plan year deductible, outof-pocket maximums and other accumulators will follow and apply to the employee provided that they choose the same plan they were enrolled in as a dependent previously. In this case, both employees will receive credit for the accumulators for his or her claims only. If the employee does not enroll in the plan he or she was enrolled in as a dependent, the plan year deductible, out-of-pocket maximums and other accumulators will not follow the employee.Reporting TerminationsWhen reporting a termination in the bswift Enrollment Portal, Benefits Administrators should use the Terminate Employment button on the left-hand navigation panel of the employee%u2019s record. After clicking this button, enter the last day worked. Last day worked corresponds with the employment termination date. Next, the system will prompt you for a termination date. This date should be set to the date that coverage ends and should always be the last day of a month. When you click save, a medical coverage termination date will pop up for verification. That date will be set to the day you entered for the employee termination date, or the last day of the month of termination if you did not enter the last day of the month on the previous screen. Note: In most cases the termination date should be the end of the month of the last day worked, but for employees who terminate at the end of the instructional year, the date may need to be set to a later date. In no instance should the coverage termination date for an employee extend past the end of the plan year that employment ends. The bswift system will automatically end coverage at midnight on the medical coverage termination date. For example, if an employee terminates on May 15, a May 31 health termination date should be entered on the employee record. The bswift system will end coverage on May 31 at 11:59 p.m. CT. The first day of no coverage for the employee will be June 1.Note: Refer to page 26 for information on reporting terminations for employees set up under a split premium arrangement.When reporting any termination of coverage, you must note the reason for termination. Any reason listed in the below chart, Cancel Reasons are COBRA eligible. Choosing a reason outside of these will result in a non-COBRA eligible termination of coverage.Note: For instructions on how to report a termination through your Third-Party Enrollment Portal, please contact your TPA. Important: Report terminations as they occur and with time for the TPA to submit to bswift to ensure processing prior to the creation of the current month%u2019s bill.Reporting Terminations: Cancel ReasonsTPA ENROLLMENT PORTAL BSWIFT ENROLLMENT PORTALEmployee and DependentsContact TPA for applicable options DeathDivorceIneligible ChildMedicare/TerminationReduction in HoursSeparationTermination38 www.bcbstx.com/trsactivecareba