Source: http://regulations.delaware.gov/register/july2014/final/18%20DE%20Reg%2079%2007-01-14.htm
Timestamp: 2018-02-23 02:28:11
Document Index: 584189543

Matched Legal Cases: ['§9602', '§5210', '§5202', '§8111', '§8111', '§8111', '§8106']

Statutory Authority: 29 Delaware Code, Section 9602 (29 Del.C. §9602)
Effective on July 1, 2014, under the authority of Title 29, Section 9602(b)(4) of the Delaware Code, the State Employee Benefits Committee (SEBC) voted to amend the Group Health Insurance Program (GHIP) Eligibility and Enrollment Rules shown below. The amended rules are effective upon publication in the Register of Regulations in accordance with 147th General Assembly’s House Bill 75.
2001 Group Health Care Insurance Eligibility and Coverage Enrollment Rules
(Effective July 1, 2013 2014)
Pursuant to the authority vested in the State Employee Benefits Committee (SEBC) by 29 Del.C. §§5210(4), 9602(b)(4), the SEBC adopts these eligibility and coverage enrollment rules for the State of Delaware Group Health Insurance Program (“State Plan”). In the event of a conflict between these rules and the Delaware Code, the Delaware Code takes precedence over these rules.
1.6	Pensioners who are enrolled in a Medicare Part D prescription plan which is not administered by the State of Delaware may not be enrolled in the State of Delaware’s Medicare Part D prescription plan for Medicare eligible retirees.
16 DE Reg. 1003 (03/01/13)
Effective July 1, 2013, the Civil Marriage Equality and Religious Freedom Act of 2013 repeals the prohibition on same-gender marriage that was enacted in Delaware in 1996. As of July 1, 2013, two individuals, whether of the same or different genders, are allowed to marry if otherwise eligible. After June 30, 2013, no new civil unions will be formed in Delaware. Both parties to a civil union that is not subject to a pending proceeding for dissolution, annulment or legal separation are permitted to convert their civil union to a marriage prior to July 1, 2014 by application for a marriage license to the clerk of the peace of the county in which their civil union license was issued, with or without further solemnization of such marriage. On July 1, 2014, all remaining civil unions not currently subject to a proceeding for dissolution, annulment or legal separation will automatically convert to marriages. In addition, with respect to legal unions other than marriages between two persons of the same gender established in another jurisdiction, both parties to such legal union will be afforded the same rights, benefits and protections, and will be subject to the same responsibilities, obligations and duties, as a marriage for purposes of Delaware law. In order for such recognition to apply, such union must be validly formed in such other jurisdiction, the parties thereto must meet the eligibility requirements to enter into a marriage in the State of Delaware, and such union must afford and impose on the parties thereto substantially the same rights, benefits, protections, responsibilities, obligations and duties of marriage. This Act provides for the equal application of all laws of the State of Delaware relating to marriage, married spouses or their children to same-gender or different-gender married spouses and their children.
2.1.1.1	legal spouse or civil union partner (Delaware law does not recognize common law marriage.) Ex‑spouses and ex-civil union partners may not be enrolled in the State’s Plan - even if a divorce decree, dissolution decree, settlement agreement or other document requires an employee or pensioner to provide coverage for an ex‑spouse or ex-civil union partner;
IMPORTANT NOTE: Spousal Coordination of Benefits Policy has been in effect since 1/1/93 and revised 7-1-11. The policy applies to a spouse who is eligible for health coverage through his/her own employer or former employer (when spouse is retired). Spouses who work full-time or who are retired and are eligible for health coverage through their current or former employer, but do not enroll under that employer's health plan, will have a reduction in benefits under the State Plan. A new Spousal Coordination of Benefits form must be completed each year during Open Enrollment or anytime throughout the year the spouse's employment or health insurance status changes. Information on the Spousal Coordination of Benefits Policy, form and a Summary Plan Description (SPD) for each health care plan is available on the Statewide Benefit Office’s website at http://ben.omb.delaware.gov/
2.1.1.4	unmarried dependent child/ren who meet the criteria of section 2.1.1.2 above, but who is age 26 or older and incapable of self-support because of a mental or physical disability which existed before the child reached age 26. The child/ren must have been covered under employee's contract immediately preceding age 26.
A separate Dependent Coordination of Benefits (child/ren) form must be completed for each enrolled dependent regardless of age, upon enrollment in other health coverage, any time other health coverage changes, or upon request by the Statewide Benefits Office to determine if the dependent is covered by any other health plan or the State Plan administrator.
2.2	Eligible dependent child/ren covered under the health insurance plans of both parents (one of whom must be employed by a group not participating in the State Plan) will be primary to the parent's plan whose birthday is the first to occur during the calendar year. In the event the parents’ birth dates are the same, the dependent child will be primary to the parent with the longest employment service. In the event birth dates and length of service are the same, the dependent child will be primary to the mutual choice of the parents.
2.3	Eligible dependent child/ren whose parents are divorced or are not living together and not married will be primary to the plan of the parent with custody or primary to the plan of the spouse of the parent with custody unless a Court or Administrative Order defines one parent as responsible for the child/ren’s health care expenses or health care coverage and if so, that parent’s plan will be primary. If a Court or Administrative Order states that both parents are responsible for the child/ren’s health care expenses or health care coverage or that the parents have joint custody without specifying that one parent has responsibility for the health care expenses or health care coverage of the dependent child/ren the provisions of Eligibility and Enrollment Rule 2.2 shall apply. If there is no Court or Administrative Order allocating custody or responsibility for the child/ren’s health care expenses or health care coverage the provisions of Eligibility and Enrollment Rule 2.2 shall apply. Also see Eligibility and Enrollment Rule 4.10.
2.34	Employing agencies shall maintain files that include such documents as SEBC determines appropriate to administer the State Plan; files shall be subject to audit by the SEBC.
2.45	In accordance with 29 Del.C. §5202(h) any spouse receiving a survivor’s pension benefit from the State Employee Pension Plan, the State Police Pension Plan(s) or the Judiciary Pension Plan may not include a new spouse in the State’s pension group health insurance plan effective June 1, 2012.
15 DE Reg. 1071 (01/01/12)
3.1	Coverage of an eligible regular officer or employee (eligible for State Share) and his/her eligible dependents will become effective on the date of hire or on the first of the any month following date of hire up to the first of the month when eligible for State Share provided the employee submits a signed application within 30 days of the employee's date of hire or within 30 days of the employee becoming eligible for the State Share first of the month when coverage becomes effective. Refer to Eligibility Table for specific coverage date options for employees who elect coverage when eligible for State Share.
3.1.1	Coverage may become effective on date of hire provided the employee submits a signed application within 30 days of the employee's date of hire. Premiums are not pro-rated for employees who elect coverage on their date of hire which is not the first day of the calendar month.
IMPORTANT NOTES: Spousal Coordination of Benefits Policy became effective 1/1/93 and revised 7/1/11 for a spouse who is eligible for health coverage through his or her own employer or former employer when spouse is retired. Spouses who work full time and are eligible for health coverage through their employer or spouses who are retired and eligible for health coverage through their former employer, but do not enroll under their former employer's health plan, will have a reduction in benefits under the State Plan. Information on the Spousal Coordination of Benefits Policy, form and a Summary Plan Description (SPD) for each health care plan is available on the Statewide Benefit Office’s website at http://ben.omb.delaware.gov/
3.3	Employees or pensioners who cover their spouse on the State Plan must complete a Spousal Coordination of Benefits Policy Form during each annual Open Enrollment period as well as anytime there is a change in the spouse's employment or an insurance status change. Failure to supply the Spousal Coordination of Benefits form shall result in the spouse's medical claims being sanctioned, which reduces health care claims to be processed at 20 percent with the remainder becoming the responsibility of the employee or pensioner; prescriptions must be paid in full at the pharmacy and a claim submitted to the State’s pharmacy benefit manager to be reimbursed at the allowable charge (20 percent minus the applicable copay).
3.4	Any employee or pensioner who elects not to enroll in the State Plan must complete and sign an application/enrollment form acknowledging the desire not to enroll by noting “waive” on the appropriate form.
3.5	Eligible employees or pensioners who fail to submit a completed and signed application/enrollment form within 30 days of their date of hire or first of any month up to their date of eligibility for State Share (see 3.1) or their date of retirement may not join the State Plan until the next open enrollment period (usually May), unless the employee or pensioner meets the requirements of Eligibility and Enrollment Rule 3.6.
3.6	Pursuant to a federal law, Health Insurance Portability and Accountability Act (HIPAA), if an employee declines enrollment for him or herself or their dependent/s (including the spouse) because of other health insurance coverage and later involuntarily loses the coverage, the State employee and/or spouse may be eligible to join the State Plan, without waiting for the next Open Enrollment period, as long as the request to enroll is made within 30 days of the loss of coverage. Necessary forms must be completed within 30 days of the request to enroll. If such a change is not made in the time period specified, the eligible employee/and or spouse must wait until the next Open Enrollment period. See subsection 4.7 for other instances when changes in coverage are permissible outside of annual Open Enrollment.
3.7	If an employee declines enrollment for him/her-self or his/her dependents (including the spouse) and later has a new dependent as a result of marriage, birth, adoption, or placement for adoption, the employee may be able to enroll him/her-self and his/her dependents provided that he/she request enrollment within 30 days after the marriage, birth, adoption, or placement for adoption. Necessary forms must be completed within 30 days of the request to enroll. Please see Eligibility and Enrollment Rule 2.4 for exception for new spouses of surviving pensioners.
3.8	The eligible employee who is currently enrolled in a group health plan, may change his/her benefit plan upon the dependent's involuntary loss of coverage, pursuant to Eligibility and Enrollment Rule 3.6, and addition to the State's Plan, provided the request for enrollment is made within 30 days of the loss of dependent's coverage and necessary form must be completed within 30 days of the request. In addition, if the employee has a new dependent as a result of marriage, birth, adoption, or placement for adoption, the employee may change his/her benefit plan upon the addition of the dependent to the State Plan provided the request for enrollment is made within 30 days after the marriage, birth, adoption, or placement for adoption and the necessary paperwork is completed within 30 days of the request.
3.9	When two active eligible regular officers, employees, or pensioners and all eligible dependents elect to be covered under “employee and spouse” or one “family” contract then the spouse whose birthday occurs earlier in the calendar year shall sign an application for coverage form requesting coverage. A change of agency is considered re-enrollment. (In the event the birth dates are the same, length of service, and mutual choice of parents will be applied as described in Eligibility and Enrollment Rule 2.2). Beginning with the effective date, May 2003, of these rules, State Share contributions for all new enrollment will be charged to the agency or organization whose employee enrolls for employee, employee and spouse, employee and children or family coverage. Enrollment prior to February 1990 shall continue to be charged to the agency or organization as was previously determined.
Each eligible regular officer, employee, or pensioner may elect to enroll under a separate contract, but no regular officer or employee or eligible pensioner may be enrolled more than once under the State Plan. Eligible dependents may be enrolled under either contract, but no dependent shall be enrolled more than once under the State Plan not be enrolled more than once under the State Plan and can be enrolled under either parent unless the parents cannot agree in which case enrollment shall meet the requirements of Eligibility and Enrollment Rules 2.2 and 2.3.
3.10	When the spouse of an eligible regular officer or employee is a retired State of Delaware employee receiving a pension, and enrolled under separate individual contracts, the employing agency and the Pension Office will carry the coverage for their respective employee/pensioner. If an Employee & Spouse, or a Family contract is chosen, the coverage will continue to be carried through the active employee's agency until such time that the Pensioner turns 65. The over age 65 spouse may continue to have the State Plan as primary payor of benefits with the contract to continue under the active employee's agency, or the spouse may choose Medicare as the primary payor through the Pension Office. Also see Eligibility and Enrollment Rules 4.8 and 4.12.
17 DE Reg. 656 (12/01/13)
4.1	An eligible employee who elects to be covered on his/her EMPLOYMENT COVERAGE DATE date of hire or on the first of any one month prior to the employee’s eligibility for State Share may change health insurance (medical) coverage when the employee first becomes eligible for the State Share payment. (Examples: (1) An employee who at hire enrolls in the "First State Basic" plan may change to "Comprehensive PPO" (or another optional coverage) when beginning State Share contribution, without waiting for the next open enrollment period. (2) An employee who at hire enrolls for "Employee" coverage may change to "Employee and Child/ren", "Employee and Spouse", or "Family" coverage when he/she begins to receive State Share, without waiting for the next open enrollment period. The employee who elects coverage to dental and/or vision coverage on his/her EMPLOYMENT COVERAGE DATE may not make changes to dental and/or vision coverage until the next open enrollment period unless the employee meets the requirements of Eligibility and Enrollment Rule 3.6.
4.2	When a covered regular officer or employee or eligible pensioner marries, or enters into a civil union, coverage for the spouse or civil union partner will become effective on the date of marriage or civil union, or first of the month following the date of marriage or civil union provided the regular officer, employee, or eligible pensioner requests enrollment of the new spouse or civil union partner within 30 days of the date of the marriage or civil union and provides the necessary paperwork within 30 days of the request to enroll. A copy of valid marriage license or civil union certificate must be provided. (Delaware law does not recognize common law marriage.) A Spousal Coordination of Benefits Policy form must be completed when adding a spouse or civil union partner to coverage. The Spousal Coordination of Benefits Policy form must be completed on-line (a copy of certification should be printed and provided to your Benefits Representative/HR Office.
4.7.6	If an employee’s spouse’s employer drops health care coverage entirely for its employees, the spouse is eligible to be enrolled in the State’s Group Health Insurance Program, provided the request for enrollment is made within 30 days of the loss of coverage. A Spousal Coordination of Benefits form must be completed upon enrolling the spouse in the State’s plan. If the spouse was previously covered under the State’s plan as secondary, a Spousal Coordination of Benefits form must be completed indicating the date of the loss of coverage to update the spouse’s State coverage from secondary to primary.
4.7.7	If an employee’s spouse’s employer is offering coverage to its employees through the Small Business Health Options Program (SHOP), the spouse is required to enroll in the SHOP coverage unless the share of the premium for the lowest priced plan offered is more than 50 percent of the total cost of the coverage. An employee can cover their spouse through the State’s plan, however the State’s plan will pay as secondary. If the employee’s spouse is required to pay more than 50 percent of the total cost of the lowest plan offered, their spouse can choose not to enroll in the SHOP coverage and enroll in coverage through the employee and the spouse will be covered as primary. Enrollment must be completed within 30 days of the spouse’s loss of employer coverage. Coverage in SHOP constitutes employer coverage and requires completion of a current Spousal Coordination of Benefits form.
4.7.8	Enrollment in the Health Insurance Marketplace. An employee can drop coverage for him/herself, his/her spouse and/or his/her dependents to enroll in coverage through the Marketplace. The request to disenroll from the State’s plan must be in writing, noting the effective date of the Marketplace coverage and provided to the employee’s Benefits Representative within 30 days of the effective date of the Marketplace coverage.
4.7.9	If an eligible employee or pensioner loses coverage under another employer group health plan other than during the State plan’s annual Open Enrollment period, the State plan permits such eligible employee or pensioner to make a prospective election change that is on account of and corresponds with a change made under the other employer group health plan.
4.8.2	If an employee or dependent covered under the State Plan becomes eligible for Medicare Parts A and B due to End Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS) the covered individual must enroll in Medicare Parts A and B and these plans will be primary to the State Plan for the period of time as outlined in the Medicare guidelines. Employees with ESRD or ALS should contact their State Plan insurance carrier to discuss coverage options.
4.9	An employee who becomes eligible for pension or Long-Term Disability (LTD) may change their plan at the onset of receiving pension or LTD and must enroll in Medicare Parts A and B upon eligibility.
See Eligibility and Enrollment Rules 2.2 and 2.3 for Dependent Child/ren Coordination of Benefits determination.
4.12	Pensioners and dependents eligible for Medicare, by reason of age or disability, must also enroll in Medicare Part A and B when first eligible for these plans and may enroll in the Medicare Supplement plan provided by the State Group Health Plan through the Pension Office. If a pensioner or their dependent eligible for Medicare does not enroll, or remain enrolled, in Medicare Part A and B, they will not be eligible to enroll in the Medicare Supplement Plan. In this instance, they must remain enrolled in a non-Medicare plan until the next available opportunity to enroll in Medicare Part A and B. Coverage in the non-Medicare plan will be reduced and paid as if secondary coverage at 20 percent (20%) of allowable charges for both medical and prescription claims. Also see Eligibility and Enrollment Rule 3.10.
5.2	Permanent part-time (regularly scheduled to work less than 130 hours per month), temporary per diem and contractual employees of the General Assembly as described in Eligibility and Enrollment Rule 1.1 are eligible to participate in the State Plan, but are not eligible for State Share. Therefore, any such employee joining the State Plan must pay the full cost of the health plan selected. Payment must be collected by the organization and forwarded to the Statewide Benefits Office by the first day of the month for which the employee's coverage becomes effective.
5.3.1	If they elect to enroll in two separate contracts, a charge of $25 per each contract per month, or the employee premium associated with the contract (whichever is less), will be assessed to each contract chosen by the individuals and deducted by OMB from salary, pension, or disability check.
5.3.2	If they elect to enroll in one employee and spouse or family contract, one charge of $25 per contract per month shall be deducted by OMB from salary, pension, or disability payments. If a husband and wife who are both permanent full-time active employees or pensioners and married to each other on or before December 31, 2011 leave State Service, on authorized unpaid leave of absence (no longer eligible for State Share), or stop collecting a pension, on or after January 1, 2012, they will be eligible to earn State Share as indicated above if they return or are permanent full-time active employees or pensioners at a future date as long as they are married to the same spouse who is also a regular officer or employee or pensioner.
5.4	When the spouse of an eligible employee is a retired State of Delaware employee receiving a monthly pension or a Disability Insurance Program (DIP) LTD beneficiary receiving an LTD check on or before December 31, 2011 each may enroll as two separate contracts, employee, and spouse contract or a family contract. The increment of cost of the option selected by the employee that exceeds the cost of two First State Basic family plans, shall be deducted by OMB from salary, pension or disability payments until June 30, 2012. (A notation should be made in the employee’s file that the spouse is a State of Delaware pensioner or DIP LTD beneficiary). The Pension Office should be notified when the active employee terminates State Service. Effective July 1, 2012 a charge of $25 per contract per month, or the employee premium associated with the contract (whichever is less in the event one of the plans is an employee only plan) will be assessed to each contract chosen by the husband and wife who were married and active eligible regular officers, employees, or pensioners prior to December 30, 2011.
5.6	If a regular officer, employee, eligible pensioner, or beneficiary selects coverage under any plan, the employee or pensioner is responsible for paying the monthly employee premium cost for the selected plan and coverage class (individual, employee & child, employee & spouse, or family).
5.10.1	Family and Medical Leave Act (FMLA) regulations provide that employees have a 30 day grace period for late premium payments. The employer's obligation to maintain health coverage ceases if an employee's premium payment is more than 30 days late. Benefit Representative or Human Resources Offices should continue the employee's health coverage for the 30 day period provided under FMLA. The Benefit Representative or Human Resources Offices can then do a retroactive cancellation if the required employee contribution was not paid by the end of the 30 day grace period. (See Eligibility and Enrollment Rule 5.22 for additional FMLA considerations.)
5.14.1	A regular officer, employee or eligible pensioner who has paid the State Share in order to insure continuation of health coverage and then later is found to have been eligible for receipt of State Share, is to be refunded the amount that was not paid by the State. The employee or pensioner must make application for the refund within one calendar year of the date the employee first paid the State Share to be refunded as required under 10 Del.C. §8111.
5.14.2	A regular officer, employee or eligible pensioner who has paid the employee or pensioner share then later is found to have been eligible for receipt of DSS is to be refunded the amount paid for employee or pensioner share for a period not to exceed one calendar year. The employee or pensioner seeking a refund must make application for the refund within one year of the date the employee or pensioner first paid the employee or pensioner share to be refunded as required under 10 Del.C. §8111.
5.14.3	A regular officer, employee or pensioner who has paid the employee or pensioner share for an ineligible dependent (for example following divorce, death, or exceeding the dependent age limits) is to be refunded the amount paid for employee or pensioner share for a period not to exceed 60 days, provided that the employee or pensioner seeking a refund must make application for the refund within 60 days of the date the employee or pensioner paid the employee or pensioner share to be refunded and further that the employee or pensioner shall be liable for any amounts paid by the State Plan on behalf of the ineligible dependent until the employee or pensioner provides notice to the Statewide Benefits Office of the dependent's ineligibility.
5.14.5	Refunds of less than $1.00 will not be made.
5.14.6	The refund is limited to the amount paid by the regular officer, employee, or eligible pensioner during the one employee or pensioner share for which the State should have paid the State Share or employee or pensioner share as established in accordance with 10 Del.C. §8111.
5.19	Any regular officer, employee or pensioner who is also receiving a survivor’s pension through the State of Delaware is also entitled to State Share for the survivor’s pension. The increment of cost of the contract selected by the regular officer or employee or eligible pensioner who is also receiving a survivor’s pension, which exceeds the cost of two First State Basic family plans, shall be deducted by the Director of the Office of Management and Budget (OMB) from salary, pension, or disability payment or checks through June 30, 2012. Effective July 1, 2012 a charge of $25 per contract per month, or the employee premium associated with the contract (whichever is less in the event one of the plans is an employee only plan), will be assessed to the contract chosen by regular officer, employee, or pensioner who is also receiving a survivor’s pension.
5.21	In the event that the State Plan has paid the employee or pensioner share or any co-pays, coinsurance, deductibles or other amounts that OMB determines should have been paid by the regular officer, employee or pensioner or covered spouse or dependent of the regular officer, employee or pensioner after deducting premiums paid during the applicable period and upon prior written notice to such regular officer, employee or pensioner (which shall not be less than sixty (60 days), the State Plan, to the extent permissible under applicable law, may recover such amounts from such regular officer, employee or pensioner by deducting the amount paid by the State Plan from the after tax pay due to the regular officer or employee or by invoicing the regular officer, employee or pensioner,
5.21.1	the regular officer, employee or pensioner shall be provided an opportunity to dispute such amounts owed to the State Plan to the Statewide Benefits Office and
5.21.2	if the amount owed by the regular officer, employee or pensioner exceeds $500.00 then the regular officer, employee or pensioner shall be provided an opportunity to have the amount owed deducted or invoiced in monthly installments over a period of time not less than twelve (12) months. In accordance with 10 Del.C. §8106(a), payment which the State Plan has made for the employee or pensioner share or any co-pays, coinsurance, deductible or other amounts that OMB determines should have been paid by the regular officer, employee or pensioners or covered spouse or dependent of the regular officer, employee or pensioner for a period of up to one year may be collected from the regular officer, employee or pensioner after deducting premiums paid during the applicable period and provided the State Plan shall provide such officer, employee or pensioner an opportunity to repay the amount due in a period of time not less than the total number of months being collected by the State Plan or not less than twelve (12) months if the amount owed exceeds $500.00.
5.22	Family and Medical Leave Act (FMLA) regulations provide that employees who fail to return to work after their FMLA leave entitlement has been exhausted shall be responsible for repayment of the State Share under the group health plan unless they fail to return to work due to their own or eligible family member’s serious health condition, or for some other reason beyond their control.
16 DE Reg. 1090 (04/01/13)
6.1	To continue coverage, a covered employee must pay the difference between the State Share contribution and the cost of the coverage selected. Coverage will be terminated on the first day of the month employee did not make required payment.
6.3	Coverage continues for teachers who are granted sabbatical leave provided they make the required payments for their share of the cost of their coverage; otherwise, their coverage is terminated effective the last day of the month in which the employee share of the premium was received. State Share continues while employee is on sabbatical leave provided that the teacher on sabbatical leave makes the required payments for their share of the cost of coverage. Also see Eligibility and Enrollment Rule 5.15.
7.4	Ex‑spouses not employed by the State of Delaware are not eligible for coverage under the State Plan - even if a divorce decree, settlement agreement or other document requires an employee to provide coverage for an ex‑spouse.
7.4.1	Coverage for the ex‑spouse of an active employee or pensioner covered by a non-Medicare plan will terminate on the day after the date of divorce.
7.4.2	Coverage for the ex-spouse of a pensioner covered by a Medicare supplement plan with or without prescription will terminate on the last day of the month in which the divorce is final.
7.4.3	Premiums are paid on a monthly basis and not prorated. The regular officer or employee or eligible pensioner must remit the employee share for the plan which included the spouse for the entire month. The regular officer or employee or eligible pensioner must submit a signed application within 30 days prior to or the date of divorce. If DSS terminates as a result of the divorce, each regular officer, employee or eligible pensioner must pay the employee contribution for the entire month that the divorce occurred. The State Plan will not be responsible for payment of claims when a dependent is no longer eligible for coverage 30 days following.
10.1.1	Dental and Vision Plans are not affected by Double State Share (DSS);
10.1.3	The Dental and Vision Plans’ effective date is always the first of the month and not on event date of hire or date of qualifying event as for the health plan;
10.1.10	The employee's election of a Dental and/or Vision plan is binding for the plan year. The employee who elects to enroll in dental and/or vision coverage on his/her EMPLOYMENT COVERAGE DATE may not change such coverage until the next open enrollment period unless the employee meets the requirements of Eligibility and Enrollment Rule 3.6.
Start Date, February 1st, March 1st, or April 1st
Start Date, March 1st, April 1st, or May 1st
Start Date, April 1st, May 1st, or June 1st
Start Date, May 1st, June 1st, or July 1st
Start Date, June 1st, July 1st, or August 1st
Start Date, July 1st, August 1st, or September 1st
Start Date, August 1st, September 1st, or October 1st
Start Date, September 1st, October 1st, or November 1st
Start Date, October 1st, November 1st, or December 1st
Start Date, November 1st, December 1st, or January 1st
Start Date, December 1st, January 1st, or February 1st
Start Date, January 1st, February 1st, or March 1st
18 DE Reg. 79 (07/01/14) (Final)