MEBS Inc

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MEBS Benefit Plans MEBS Benefit Plans Special Enrollment for Dependent Care Your dependents may be eligible under the Patient Protection and Affordable Care Act (PPACA) to be added or re-enrolled in a health plan this fall. Group health plans and issuers are required to hold a Special Enrollment for individuals impacted by the following PPACA provisions: - 26-year-old dependents may maintain coverage until the end of the calendar year of their 26th birthday - PPACA prohibits health plans from putting a "lifetime" dollar limit on most benefits a member receives. The Act also restricts and phases out the "annual" dollar limits a health plan can place on most of a member's benefits. Who is eligible? Individuals who qualify as eligible dependents by birth, marriage, legal adoption or guardianship until the end of the calendar year of their 26th birthday: - Newly eligible adult dependents whose coverage previously ended - Adult dependents who were previously denied coverage - Individuals who were not eligible for coverage because their dependent coverage ended before they turned 26 NOTE: Dependent eligibility is no longer limited by financial dependency, marital status or enrollment in school. Individuals whose coverage previously ended because they exceeded a lifetime dollar limit under their plan and are otherwise eligible for coverage. Please Note: The Special Enrollment Period is only for newly eligible dependents and those who previously exceeded their lifetime dollar limit. The coverage effective date for enrollment is January 1, 2011 During this Special Enrollment Period, if you have newly eligible dependents, you will also have the option to switch the entire contract to a different plan offered by your employer. For Benefits Administrators: To download a Microsoft Word template of a special enrollment notice please select the following link: Member Special Enrollment Notice MEBS Benefits Plan Advantages - Depth of product offerings, including many of the nation’s largest providers - BCBSM customized plans for maximum cost savings without reduced quality or coverage - Flexible, custom built plans to fit your present and future needs Client Advantages - MEBS WRAP™ program (dual funding) - Greater choices in plan design to maximize savings and minimize risk - Employer self funds front-end claims - Prescription Flexibility including self-funded or fully insured - Nation’s leading pharmacy benefits manager— CVS Caremark

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