It is your responsibility to ensure Dean Health Plan has all health plan carriers offered on file. This is done by completing and returning the Group Information Form included in your annual enrollment materials. See a sample Group Information Form.
Dual choice enrollment period is when an employee, already insured under another plan offered by your group, can change to Dean Health Plan at the group’s anniversary date. We automatically allow a dual choice period each year for all employers with two or more health insurance carriers.
During the dual choice enrollment period, employees and their currently insured dependents can enroll in other plans offered by Dean Health Plan.
The employer determines the length of the dual choice enrollment period; however, the effective date of coverage will always be the group’s anniversary date. Applications must be received by us within 31 days of the anniversary date.
Example: If your anniversary date is Jan. 1, your enrollment period can be held in November or December. Thus, any employee changing plans would be effective with Dean Health Plan coverage as of Jan. 1 and the application would have to be received by Dean Health Plan no later than Jan. 31. Midyear changes between plans are not allowed.
We define an “open enrollment” period as a one-time opportunity each year at renewal for all eligible employees or dependents to join the group’s health insurance plans, regardless of whether the employee or dependents are currently insured under another health insurance plan.
Employees who elect coverage must complete an Employee Application for Group Coverage form. You can enroll new hires through our online employer portal.
Notify your Account Manager if staffing changes require updates in your portal access.
The form(s) must be signed by the employee and received by us no later than 31 days from the eligible employee’s effective date of coverage. If an application is not received within 31 days from the effective date, they will be considered a late enrollee, if late enrollees are allowed by the group. Employers should review their Group Master Policy for late enrollment provisions.
Example for small employer groups (50 employees or less):
An employee is hired Jan. 4. The group’s probationary period is the first of the month following 30 days from date of hire. The effective date of coverage is March 1, and the application would be due to us by March 31. If an application is received after March 31 and the late enrollee provision is 90 days, the employee would then be effective 90 days following receipt of the application.
Be sure to complete the section at the top of the application labeled “For Employer Use Only” and review each application to make sure your employee completed all of the information before sending it to us.
Pay special attention to the following:
If an application is not signed or dated – or if any of the above information is missing – we will request a completed application from the employer. This may delay the application unnecessarily. Pay close attention to this section before sending us any application.
If an employee chooses not to take coverage when it becomes available to them, employers should have the employee complete the Waiver of Coverage Form and maintain that form in their files.
"Social Security numbers are now required in accordance with Section 111 of the Medicare, Medicaid and SCHIP Extension Act of 2007. Provisions for this are found under 42 U.S.C. 1395y(b)(7). We may contact you or the member/dependent directly to request the Social Security number."
"If the number is not provided, we may delay or deny payment of medical claims for that specific member. Social Security numbers will only be used to report or to establish Medicare eligibility."
Once an application is completed, an employee is enrolled within five business days. An identification card is mailed to the employee’s home address seven to 10 business days from receipt of the application. If the application is missing information needed to enroll the member, the enrollment is delayed until we receive this information. All missing information required to enroll the member must be received within 31 days of the initial application. Temporary ID cards may be printed from DeanConnect, but not until the enrollment is complete.
The “employee copy” or yellow copy of the Group Application form can used as a temporary ID card until he or she receives an ID card. If you print the form online, a photocopy of the form can also be used as a temporary ID card. The provider should make a copy of the form if they send the original to Dean Health Plan.
If the provider used DeanConnect, they should keep the original. The provider can also contact our Customer Care Center to verify the coverage date of the employee/dependent. If services are needed before receiving an ID card, have the member contact our Customer Care Center for assistance.
Tips on Reading Your Member ID Card.