TeamstersCare Retiree Program deferral and re-enrollment rules
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Rules governing when a member or dependent may defer enrollment in the TeamstersCare Retiree Program under HIPAA special enrollment provisions, and the conditions and timelines for re-enrollment and premium payment.
No material clinical or coverage changes in this revision.
Deferral and Re-enrollment Criteria
Deferral and re-enrollment criteria
Conditions to defer enrollment and to re-enroll in the TeamstersCare Retiree Program:
ALL of the following
- Submit written notification to TeamstersCare requesting deferral at the end of active coverage
- Maintain uninterrupted health care coverage under another employer group health plan and provide the group medical plan name and company providing coverage
Re-enrollment options
- Apply during Open Enrollment (coverage beginning January 1)
- Or apply within 31 days after losing the uninterrupted group coverage and provide proof that the other coverage ended because it was no longer available (not due to nonpayment, fraudulent claim, or similar reason)
ALL of the following
- Enroll and pay premiums; coverage begins the first of the month after TeamstersCare receives the request to begin coverage
Deferral Notification and Re-enrollment Actions
Request deferral in writing; follow re‑enrollment timelines and pay premiums
Members or deferred dependents must notify TeamstersCare in writing to request deferral of enrollment at the end of active coverage. When re‑enrolling, they must apply during Open Enrollment for coverage beginning January 1, or apply within 31 days of losing uninterrupted group coverage and provide proof the other coverage ended because it was no longer available (not due to nonpayment, fraud, or similar reasons). Members must also enroll and pay premiums; coverage begins the first of the month after TeamstersCare receives the request and premium payment.
- Written notice to TeamstersCare is required to request deferral at the end of active coverage.
- Re‑enroll during Open Enrollment for coverage effective January 1, or within 31 days after losing uninterrupted employer group coverage with proof the loss was not for nonpayment or fraud.
- Must enroll and pay premiums; coverage starts the first of the month after TeamstersCare receives the request to begin coverage.
Key Definitions
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