June> Annual Enrollment Update

Annual Enrollment Update

Reminder of Health Care Reform Changes to UT Benefits

As reported in the May 2011 edition of A Matter of Health: Connecting Work & Life, several provisions of Health Care Reform enacted in March 2010 under the Affordable Care Act (ACA) go into effect for the UT SELECT Medical plan effective September 1, 2011. Our medical plan, being quite robust, is ahead of compliance in some areas such as no annual dollar limits on essential health benefits. There are, however, a few portions of the Act resulting in some notable positive changes that you don’t want to miss. As we stated last month, provisions of ACA affecting our UT SELECT Medical plan in the 2011-2012 Plan Year include:

Expanded Young Adult Dependent Coverage – Beginning September 1, 2011, young adult dependent children may join or remain on their parent’s UT SELECT Medical plan through the end of the month in which they turn age 26.

Special Enrollment Opportunity – The Expanded Young Adult Dependent Coverage provides a special enrollment opportunity for dependent children whose coverage ended, or who were not eligible for coverage because they turned age 25, got married, or enlisted in the military. These individuals are eligible to enroll in UT SELECT Medical from the first day of Annual Enrollment through the end of September. Coverage for these special enrollees will be effective September 1, 2011. Important: Supporting documentation of the child relationship will be required.

$0 Preventive Care and Services – The Health Care Reform provisions add to the list of preventive care and services already offered through UT SELECT Medical at no out-of-pocket cost to the member when received in-network. Eligible services are outlined in the Federal Regulations based on U.S. Preventive Service Task Force Recommendations.

Please be aware that you may incur some cost if the preventive service is not the primary purpose of the visit or if your doctor bills for services that are not preventive.

No EOI for UT SELECT Medical – Last month we reported that eligible employees and dependents under age 19 will be able to enroll in UT SELECT Medical without completing Evidence of Insurability (EOI). Effective September 1, 2011, the EOI exception for UT SELECT Medical is being expanded to all eligible enrollees. This means that any eligible person may enroll in UT SELECT Medical for coverage effective dates of September 1, 2011 or later without completing EOI. All other eligibility and enrollment policies still apply.

EOI requirements for other types of coverage are not changing. For more information about Evidence of Insurability, please see the UT Benefits Handbook for Employees or Retired Employees available on the Office of Employee Benefits website or in paper format from your local Benefits Office. Updated handbooks will be available at the beginning of the Annual Enrollment period.

Watch your email for more specific details in the upcoming “A Matter of Health Special Annual Enrollment Edition” newsletter.