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Newborn Enrollment Guidelines Updated

Carpenters Benefit Plans | Apr 24, 2024

This information is intended for Active participants & pre-Medicare retirees.

Initial newborn eligibility under the health plan has been updated to allow participants more time to complete an updated Enrollment Form and submit all necessary supporting documents when a dependent child is born. Now, participants have 90 days to submit required paperwork (previously the plan allowed 30 days).

Newborns will be granted eligibility using the following guidelines retroactive to July 1, 2023:

ENROLLMENT FORM
received
SUPPORTING
documents rcvd
ELIGIBILITY
begins
Within 90 days of birth dateWithin 90 days of birth dateOn the date of the child’s birth
91 days or more after birth date91 days or more after birth dateOn the date the Enrollment form and proof of relationship documents are received
Within 90 days of birth date91 days or more after birth dateAfter 90-day newborn enrollment ends, eligibility is reinstated on the 1st of the month in which proof of relationship documents are received*
* For example, if required supporting documentation is received after 90 days, on the 15th of a month, coverage for the newborn will be reinstated on the 1st of that month. Required documents for eligibility are listed on page 2 of the Enrollment Form.

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