If an employee elects the Total Health Plan for 2008 and has a healthcare fund balance at the end of the plan year, then enrolls in an HMO in 2009, what happens to any remaining balance?
If you leave the Total Health Plan for any reason (i.e., move to an HMO) and re-enroll in the Total Health Plan in a different plan year, the healthcare fund credit will be based on the coverage level you select at that time. (No prior healthcare fund balances are reinstated.) If you leave the Total Health Plan and re-enroll in the Total Health Plan in the same calendar year, any remaining balance in the healthcare fund is reinstated. (The balance may include a zero balance.) When you re-enroll in the same calendar year, only claims incurred while you are covered are eligible for reimbursement – any claims incurred during the period you were not covered are not eligible for reimbursement from the healthcare fund.
Related Questions
- If an employee elects the Total Health Plan for 2008 and has a healthcare fund balance at the end of the plan year, then enrolls in an HMO in 2009, what happens to any remaining balance?
- Will the total annual amount an employee elects to contribute to the HSA be made available on January 1 just like the employer’s HSA dollars or the health FSA dollars?
- Who should an employee contact to determine if a specific procedure is covered under the Total Health Plan?
