(1)Late enrollment occurs when an eligible employee fails to enroll themselves, eligible family members, domestic partner, or a domestic partner’s child in benefit plans within the required time period.
(2) An enrolled employee requesting late enrollment for a family member, domestic partner, or domestic partner’s dependent child must provide supporting documentation that shows an inability to enroll the individual when first eligible because of circumstances beyond the employee’s control.
(3) A newly eligible employee approved for late enrollment receives only employee basic life insurance coverage and may only elect medical and dental coverage for themselves, spouse, domestic partner, or dependent children. If late enrollment is approved, benefit coverage is effective the first of the month following receipt of the completed enrollment forms.
(4) Following receipt of the completed forms, late enrollment of an employees’s biological newborn dependent child will be retroactive to the first of the month following the date of birth if completed forms are received during the first twelve months of life.
Rule 101-020-0040 — Late Enrollment,