Are You Ready For Open Enrollment?

Outside of Open Enrollment, individuals can only change their coverage if they have a qualifying event, such as getting married, having a baby, or losing other health coverage. This means that they must experience a specific life event that allows them to make changes to their coverage outside of the designated enrollment period.

Cigna is now offering Life and Disability plans.

Guarantee issue refers to the right to buy insurance without a physical examination, meaning that the present and past physical condition of the applicant are not taken into account. This means that regardless of any health conditions, the applicant can still purchase insurance. Therefore, the statement is true.

The "grandfathered" rates for Short Term Disability (STD) will be eliminated effective April 1, 2010. This means that the rates that were previously allowed for certain individuals will no longer be applicable after April 1, 2010. Therefore, the answer "Yes" indicates that the statement is correct and the grandfathered rates for STD will indeed be eliminated.

Completing the Evidence of Insurability form does not guarantee that the associate will get the coverage they elected. The form is used by insurance companies to assess the individual's health and determine if they are eligible for the coverage. The insurance company may still deny coverage based on the individual's health condition or other factors. Therefore, the completion of the form does not guarantee coverage.

Hourly associates can obtain Long Term Disability (LTD) coverage. This means that hourly employees have the option to enroll in a Long Term Disability insurance plan, which provides financial protection in the event that they are unable to work for an extended period of time due to a disability. This coverage is typically offered by employers as part of their benefits package and helps to replace a portion of the employee's income while they are unable to work.

The correct answer is April 1, 2010. This is the date on which open enrollment becomes effective.

Consumer-directed health care plans offer several advantages to individuals. Firstly, these plans provide better access to information and give individuals more control over their own healthcare. This enables them to make informed decisions about treatment and choose their preferred healthcare providers. Secondly, consumer-directed plans empower individuals by giving them more control over their healthcare spending and informing them about the true cost of care. This makes them more cost-conscious and allows them to make more financially responsible decisions. Lastly, these plans promote healthy behavior by offering no-cost or low-cost services such as routine physicals, immunizations, weight-loss programs, and prenatal care. Therefore, the correct answer is "All of the above."

The statement "In 2010, TPG made changes to the Delta Dental standard and enhanced plans" is false. According to the given information, the correct answer is false, indicating that TPG did not make any changes to the Delta Dental standard and enhanced plans in 2010.

If an associate elects more than $20,000 of Spousal Life insurance, they are required to complete an Evidence of Insurability form. This form is necessary to provide evidence of the spouse's insurability and determine if they are eligible for the coverage amount requested.

To access Cigna's value-added programs like the secure travel program and identity theft protection, one needs to be enrolled in Supplemental Life Insurance with AD&D Coverage. This indicates that these additional benefits are only available to individuals who have this specific insurance coverage.

Vision insurance is available to part-time associates.

The guaranteed issue for Life insurance for New Hires is 3x Basic Annual Earnings. This means that new hires are eligible to receive life insurance coverage that is three times their basic annual earnings without the need for medical underwriting or providing evidence of insurability.

The cost of Vision insurance will decrease in 2010.

Under the new BCBS mid level plan, associates will have to pay for prescriptions using a combination of copay and coinsurance. This means that they will have to make a fixed payment, known as a copay, for each prescription, as well as a percentage of the total cost of the prescription, known as coinsurance. This combination of payment methods helps to share the cost of prescriptions between the insurance provider and the associate, ensuring that both parties contribute towards the expense.

Coinsurance refers to the percentage of plan costs that an individual is responsible for paying for certain expenses. It is a cost-sharing arrangement between the insured individual and the insurance company, where the individual pays a percentage of the total cost of a covered service or treatment, while the insurance company covers the remaining percentage. This helps to distribute the financial burden between the insured individual and the insurance company, ensuring that both parties contribute to the cost of healthcare services.

During open enrollment, associates who initially chose not to enroll in Life insurance when hired are allowed to elect 1 times their annual earnings (up to a maximum of $100,000). This means that they have the option to select an insurance coverage amount that is equal to their annual salary, with the maximum limit being $100,000.

If an associate enrolls in Life and AD&D coverage, it means that they have chosen to have both life insurance and accidental death and dismemberment coverage. In this scenario, the question is asking whether the spouse of the associate is required to elect AD&D coverage as well. Since the question does not provide any additional information or context, it can be inferred that if the associate chooses to have AD&D coverage, their spouse is also required to elect it. Therefore, the correct answer is "Yes."

During open enrollment, an associate can increase their spousal life insurance coverage by 2 units of $5,000 without having to complete an Evidence of Insurability.

During open enrollment, associates who are already enrolled in Life insurance can increase their election up to 1 time their annual earnings (up to a maximum of $100,000). This means that they have the option to increase the coverage amount of their life insurance policy up to an amount equal to their annual earnings, but not exceeding $100,000.

The pre-existing clause does not allow coverage for conditions that were diagnosed within 12-months prior to the effective date of coverage. For those associates that already have STD but have been enrolled less than one year, their time in the plan will be honored by Cigna as it relates to the pre-existing clause.