Compilation of Rules and Regulations of the State of Georgia › Department 111 - RULES OF DEPARTMENT OF COMMUNITY HEALTH › Chapter 111-4 - STATE HEALTH BENEFIT PLAN › Subject 111-4-1 - STATE HEALTH BENEFIT PLAN › Rule 111-4-1-.05 - Effective Date of Coverage

Current through Rules and Regulations filed through June 27, 2024
(1)
Upon Employment.
The
				Employee's Coverage under the SHBP shall become effective on the first of the
				month following employment for the full preceding calendar month if the
				Employee has not terminated employment on or before that date. Coverage for a
				transferring Employee shall be effective the first of the month following the
				end of Coverage under a previous Employing Entity. Coverage for eligible
				Dependents will become effective on the date the Employee's Coverage is
				effective.
(2)
Upon Change in
				Coverage.
If the Member changes Coverage to include eligible Dependents
				based upon acquisition of Dependent(s), Coverage for the Dependents shall
				become effective on the later of the first of the month following the request
				for Coverage, or subject to guidelines for acquisition of
				Dependent(s).
(3)
Upon Open
				Enrollment Change or Enrollment.
The effective date for enrollments or
				changes in Coverage election to add eligible dependents shall be January
				1st unless the Member no longer meets the definition
				of an Active Employee on or before that date. The termination date for Open
				Enrollment discontinuation of Coverage shall be December
				31st. Subject to the provisions of Section
				111-4-1-.06 of these regulations,
				Coverage elections shall be binding upon the Member for the duration of the
				Plan Year.
(4)
Upon Return
				from Leave Without Pay.
The effective date for re-enrollments following
				an Approved Leave of Absence Without Pay shall be the first of the month
				following the return to work. The effective date for re-enrollments following a
				military leave without pay shall be the first of the month following the return
				to work or the date employment is reinstated. In all instances, the appropriate
				Premiums must be deducted and remitted by the Employing Entity.
(5)
Upon Acquisition of a Dependent.
The effective date of Coverage for acquired Dependents is subject to the
				requirements as outlined for the Member and shall be the later of the first of
				the month following the request for Coverage or:
(a)
Legally Married Spouse.
The
				effective date of Coverage shall be no earlier than the first of the month of
				marriage to the Member. The Plan is not responsible for payment of the Spouse's
				medical services incurred prior to the actual date of the marriage.
(b)
Natural Children.
The
				effective date of Coverage shall be the date of birth.
(c)
Stepchildren.
The effective
				date of Coverage shall be no earlier than the date of marriage of the Member
				and the natural parent of the children.
(d)
Adopted Children.
The
				effective date of Coverage shall be no earlier than the date of legal placement
				for adoption.
(e)
Other
				Children.
The effective date of Coverage shall be no earlier than the
				date that sole legal guardianship is established.