Small Group Blues Enroll - Arkansas Blue Cross and Blue Shield

ARKANSAS BLUE CROSS AND BLUE SHIELDSMALL GROUP BLUESENROLL GROUP ADMINISTRATOR’S MANUALSection 2 - GROUP ADMINISTRATOR’S RESPONSIBILITIESListed below are important points to remember as you perform your duties as groupadministrator. By following these guidelines, you assist us in providing you with the bestservice possible. Your cooperation is greatly appreciated.• All permanent, full-time employees (minimum of 30 hours per week and 48 weeksper year) are eligible for group coverage. Please ask new employees to completethe on-line electronic enrollment process. (See Section 3 for guidelines).• Arkansas Blue Cross and Blue Shield (Arkansas Blue Cross) will accept onlineapplications transmitted no more than sixty days before the effective dateof coverage. All other requirements for “timely” status will be observed• Please verify the accuracy of information submitted on Employee applications andchange forms and assure this information is transmitted to the Company.• Applications and changes in coverage must be communicated to the Company in atimely manner in the format required by the Company in order to be effective. TheCompany shall not be responsible for any applications or changes in coverage orerrors in such applications or changes if proper procedures as required by theCompany are not followed. The Company shall be entitled to rely upon any datasubmitted by an Employee or Policyholder in on-line format.• Please obtain and maintain the documents described in Section 3 to supporteligibility status of Employees and Dependents. You shall provide these documentsto the Company upon request.• If the new employee had prior creditable coverage from a former insurance carrier, aCertificate of Creditable Coverage, issued by the prior carrier or prior employerneeds to be entered on the initial online application of coverage and should bemaintained and available upon request of the Company• Explain all eligibility periods to new applicants.• Make sure all employees understand how effective dates are assigned. ArkansasBlue Cross calculates effective dates on a calendar month basis. The EmployerGroup Application has been revised to offer only a “monthly” option for waitingperiods. For example: If the date of hire is 06-15-01 and the group has a 3 monthwaiting period, the effective date will be calculated as June 15-July 15 (first month),July 15-August 15 (second month), and August 15-September 15 (third month). Ifyour group has a 15 th of the month billing, the effective date would be September15th. For first of month groups, the effective date would be October 1 st . If your grouphas special needs regarding waiting periods, please contact your MarketingRepresentative. The request will need to be faxed or mailed on your companyletterhead. This documentation will be placed in your group’s file for verification ofyour request.Small Group BluesEnroll R 10/25/07 2