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| Effective November 1, 2006 in accordance with the Children's Health Insurance Program Reauthorization Act of 2009 (the "Act") to add a new special enrollment period for any Dependent who becomes eligible for coverage due to the loss of coverage under a State Children's Health Insurance Program (SCHIP) or Medicaid or becomes eligible for any state-sponsored premium assistance subsidy program. |
| AMENDMENT |
| Section 1.1.5 of the Summary Plan Description is amended as follows: |
| 1.1.5 Enrollment of Dependents |
| In order for Dependents to be covered under the Plan, the employee must elect family coverage and all Dependents must be properly enrolled in the Plan pursuant to the following guidelines: |
| New Dependents |
| An employee who has elected single coverage and subsequently acquires a Dependent (through marriage, birth, adoption or placement for adoption) must add that Dependent within 30 days after the marriage, birth, adoption or placement for adoption. If an Employee has elected family coverage, newly acquired Dependents will be automatically added to the Employee's enrollment upon notice to the Fund office of the acquisition of such Dependents. |
| Special Enrollment |
| There will be no open enrollment for existing Dependents whose coverage has been declined or discontinued (except as specified in Section 1.1.10 (C) for Dependents of Retired Participants). If a Participant declines or discontinues coverage for a Dependent (including a spouse), that Dependent may not be enrolled at a later date unless a Special Enrollment Event occurs. Upon the occurrence of a Special Enrollment Event, coverage for Dependents may be added, provided that enrollment is requested within 30 days after the Special Enrollment Event and all enrollment forms are completed and returned to the Fund Office within 30 days of the end of the Special Enrollment period. |
| "Special Enrollment Events" under this provision are: marriage, birth, adoption, placement for adoption or the loss of other health coverage due to marital separation, divorce, death, termination of employment, reduction in work hours, termination of employer contributions toward coverage, or exhaustion of COBRA or state continuation coverage. Special Enrollment is not available if the previous coverage loss resulted from fraudulent activity or from nonpayment of premiums. |
| The general rule not withstanding, effective April 1, 2009, the period of time in which a Participant must notify the Fund Office in writing of any person Dependent who becomes eligible for coverage due to the loss of coverage under a State Children's Health Insurance Program (SCHIP) or Medicaid or becomes eligible for any state-sponsored premium assistance subsidy program is 60 days, not 30 days, of that person becoming a Dependent or losing the other coverage. |
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St. Louis Graphic Arts Joint Health & Welfare Fund 14323 South Outer Forty Rd. - Suite S106 Chesterfield, Missouri 63017 |
Fund Office: (314) 878-1579 twesthues@slgahw.org Fax: (314) 275-2640 |
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