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UnitedHealthcare has announced a Dental & Vision Special Enrollment Opportunity to enroll employees who previously did not enroll in Dental and/or Vision coverage. The one-time opportunity will be limited to those employees who previously waived coverage or did not elect coverage for themselves or their dependents (e.g., spouses or children).
Get the details.
UnitedHealthcare’s FAQs on the Special Enrollment Period has answers to many questions.
UnitedHealthcare has extended the COVID-19 Special Enrollment Period (SEP) to April 13, and employers* with multiple plan options also can buy down to a leaner plan. Options include:
Add a special open enrollment for members who previously waived coverage, including dependents, to provide additional access to care. Employers can do this without introducing any new plans from March 23 -April 13 (extended from April 6). Employers will continue to contribute to the cost of the coverage, and coverage will be effective April 1.
1. Buy down to a leaner plan:
2. Add a lean plan design but no SEP: Consistent with the buy-down approach, employers will have until May 31 to add a lean benefit. In that instance, existing members can move to the new lean plan design. No other benefit changes are permitted. New enrollees previously waiving coverage are excluded beyond the April 13 cutoff for SEP.
The SEP is limited to medical, pharmacy, dental and vision. All other products are not part of the special enrollment program.
Yes. Between March 23rd and May 31st, employers have one chance to buy down their benefit plan. The group’s effective date will not change, and the new plan will become effective between April 1 – June 1, depending on timing of plan change request. Follow standard off-cycle plan change process.
Yes, between March 23rd and May 31st, UnitedHealthcare will not impose any fully insured policy limitations on employer /plan sponsors who want to:
Yes. This date extension only applies to United Healthcare group CA HMO products.
To assist members in accessing care in light of COVID-19, United Healthcare is providing its fully insured small and large employer customers with a Special COVID-19 Enrollment Opportunity to enroll employees who previously did not to enroll in coverage. The opportunity will be limited to those employees who previously did not elect coverage for themselves (spouses or children) or waived coverage. See Notice of Special COVID-19 Enrollment Opportunity (English) and Notice of Special COVID-19 Enrollment Opportunity (Spanish) document for details.
No. The Special Open Enrollment period is NOT intended to allow members to change plan options. The Special Open Enrollment is merely waiving policy restrictions on adding new enrollees outside of open enrollment or the normal special enrollment period. The employer-sponsored group health plan will decide if they want to offer the option for new entrants to the plan. Learn more.
Yes. During the next 90 days, and one time only, if an employer wishes to buy down their benefit plan, UnitedHealthcare will allow it. The group’s effective date will not change. Learn more.