Benefits Plans - hipaa notification of medical plan re-enrollment

You may waive (opt out of) enrollment in a U-M benefit plan for yourself and/or your eligible spouse because you have other medical coverage through another employer. If you waive medical coverage and you subsequently lose that coverage involuntarily, you may be eligible to enroll yourself and/or your eligible spouse in a U-M benefit plan provided all of following conditions are met:

  1. Coverage has been continuously maintained in another group medical plan; that is, there has been no lapse in cover¬age between the time you waived university coverage and later apply for coverage; and,
  2. You must request enrollment within 31 days after the other medical coverage is involuntarily lost and provide satisfactory evidence as requested by the Benefits Office that all requirements for re-enrollment have been satisfied.

Important Facts to Consider Before Waiving Coverage

  • You will not be considered to have involuntarily lost your other group medical coverage if you remain eligible for the coverage at your own cost (other than COBRA). For example, if the other employer increases your and/or your spouse’s required contribution for coverage, or requires you and/or your spouse to pay the full cost of coverage to remain eligible for the coverage, you will not be considered to have involuntarily lost eligibility.
  • You will not be allowed to enroll in the university’s health plan due to another employer’s decision to increase you or your spouse’s costs for participation.
Limitations
The University of Michigan in its sole discretion may modify, amend, or terminate the benefits provided with respect to any individual receiving benefits, including active employees, retirees, and their dependents. Although the university has elected to provide these benefits this year, no individual has a vested right to any of the benefits provided. Nothing in these materials gives any individual the right to continued benefits beyond the time the university modifies, amends, or terminates the benefit. Anyone seeking or accepting any of the benefits provided will be deemed to have accepted the terms of the benefits programs and the university's right to modify, amend or terminate them.