Small Group Blues Enroll - Arkansas Blue Cross and Blue Shield

More documents

Recommendations

Info

ARKANSAS BLUE CROSS AND BLUE SHIELDSMALL GROUP BLUESENROLL GROUP ADMINISTRATOR’S MANUALQ. Will Arkansas Blue Cross allow for time credit for children who aretransferring from one parent’s contract to the other parent’s contractbecause of divorce custody?A. Yes. Provided the dependent has prior creditable coverage.Q. We have a new employee who has had other insurance that was not groupcoverage. Will the employee have creditable coverage from thatinsurance?A. As defined by the Health Insurance Portability and Accountability Act of1996 (HIPAA), individuals who have any of the following types of HealthCare Plans will be entitled to transferable creditable coverage:1. Other group health plans (including COBRA)2. Individual Major Medical coverage3. Medicare Part A or B4. Medicaid5. CHAMPUS6. Federal Employees Health Benefit Plan (FEHBP)7. Medical care programs of Indian Health Services or tribalorganizations8. State health benefits risk pools9. Public health plans10. Peace Corps health planSmall Group BluesEnroll R 10/25/07 33
ARKANSAS BLUE CROSS AND BLUE SHIELDSMALL GROUP BLUESENROLL GROUP ADMINISTRATOR’S MANUALSection 12 - FORMS1. Group ApplicationThis small group employee online application is used to enroll an employee inyour group’s health programs. An employee who declines coverage initially mustcomplete the waiver section of the online application. All employees are requiredto complete an online application when enrolling.2. Change Request FormThis electronic form is used to make changes to previously enrolled employee’saddress, name, and telephone number or to terminate an employee and/ordependent(s).3. Dental Application and Change FormThis form is used to either enroll an employee in your group’s dental program, orto make changes to a previously enrolled employee’s coverage4. Application for Conversion PolicyThis form must be completed when you have someone who is leaving your groupwho wishes to continue with Arkansas Blue Cross and Blue Shield on a directbasis. Conversion is also available to employees who have exhausted theirCOBRA eligibility. This form must reach our offices within 31 days of the last daythe employee is covered through the group.5. Health Claim FormThis form is used to submit medical charges for benefits that were not filed by thephysician or health care professional. There are step-by-step instructions on howto file charges on the reverse side of the claim form.6. Dental Claim FormThis form is used to submit dental charges for benefits that were not filed by thedentist.7. Prescription Claim FormThis form is used to submit prescription charges for reimbursement in caseswhere payment has previously been made by an insured.Any of these forms, applications, etc., may be obtained by contacting your GroupService Representative. If you have any forms other than the ones indicated or if youneed other supplies that are not listed, please check with your Group ServiceRepresentative.As Group Administrator, you have an obligation to check each form to be submitted forcompletion, accuracy, and the filing of such in a timely manner. Incomplete formscannot be processed, and will delay your employee from receiving benefits.Small Group BluesEnroll R 10/25/07 34
Page 5 and 6: ARKANSAS BLUE CROSS AND BLUE SHIELD
Page 23: ARKANSAS BLUE CROSS AND BLUE SHIELD
Page 44: ARKANSAS BLUE CROSS AND BLUE SHIELD

Small Group Blues Enroll - Arkansas Blue Cross and Blue Shield

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?