Small Group Blues Enroll - Arkansas Blue Cross and Blue Shield

ARKANSAS BLUE CROSS AND BLUE SHIELDSMALL GROUP BLUESENROLL GROUP ADMINISTRATOR’S MANUALUNDERWRITINGIf one of your employees would like to become a Medi-Pak member, deletethe employee from your group billing and submit a Medi-Pak Applicationwithin 31 days of the last billing. If there is no lapse in coverage, theemployee can transfer to Medi-Pak. If the employee chooses to continueArkansas Blue Cross group coverage, no action is necessary.An employee turning 65 years of age also may take advantage of Medicarecoverage. As the group administrator, you need to know which health planpays first for people with Medicare. If you would like a copy of MedicareSecondary Payer: Information for Employers, or would like to receive anupdated copy every year, please write to the address below and ask forCMS Booklet #02193:CENTERS FOR MEDICARE/MEDICAID SERVICES7500 SECURITY BOULEVARDBALTIMORE, MD 21244-1850ADDITIONS TO THE GROUP AFTER INITIAL ENROLLMENTNEW HIRESNew hires may be added to the group by completing and submitting an onlineApplication, requesting coverage.REQUESTING EXCEPTIONSExceptions requesting waiver of the eligibility period will not be granted. Agroup may, however, request their contract be amended to reflect thecreation of multiple eligibility periods for future new hires and additions.These eligibility periods must be created for classes of employees only. Forinstance, Sole Proprietor, Partner, or Corporate Officer would be anidentifier for executives. The word "Key Employee" is disallowed as anidentifier.OMISSIONS AND ERRORSArkansas Blue Cross bills every group one time each month. That bill listseach covered employee in the group and an amount due. It is veryimportant that you, as the group administrator, verify that all coveredemployees are listed on the bill and that any terminated employees areindicated on page 1 of your bill (please refer to Section 5 for instructionson making adjustments to amount billed). Incorrect removal of anemployee may require the submission of payroll records to verifycontinued employment.REFUNDS OF PREMIUMSIf Arkansas Blue Cross terminates the coverage of an employee and/ordependent, premium payments received on account of the terminatedSmall Group BluesEnroll R 10/25/07 10