What is my benefit effective date?
Your benefits with AISD are effective the 1st of the month following your hire date or your life event/qualifying event date.
Please keep in mind that premiums deducted from an employees pay check are to pay for the current billing cycle which are retro to the first of the month.
Example: Donna is hired on April 15th, Donna has 31 days to enroll in her benefits, her waiting period will expire on May 15th. Donna is having trouble deciding and finally makes a decision on May 14th. Donna will still owe premiums for benefits beginning May 1st. Donna’s insurance coverage will go into effect May 1st, as a result Donna will be retroactively billed for the effective date of May 1st.
Please note it takes 7-10 business days before employee become active in the vendors system. Cards are mailed out within one week of vendor system’s update. Employee can check the status of their cards or coverage by contacting the vendor directly.
Benefit changes can only be made if you experience a valid qualifying event, such as adopting a child or getting married, ad changes must be made within 31 days of the event.
Arlington ISD Benefit Plan is a Section 125 Flexible Benefit Plan (Cafeteria Plan) allowed for under the regulation of Section 125 of the Internal Revenue code.
RULES: “Pre-tax” elections cannot be revoked or changed during the Plan Year unless there is a qualifying event. Election changes must be consistent with the event.
Supporting Documents Required to Enroll/Cancel Coverage:
Documentation of the qualifying event and dependent verification documentation must be submitted directly to the Benefits Office within 31 calendar days (including weekends and holidays) of the qualifying event date. (NOTE: All documents faxed or emailed are considered by the time stamp when they were sent whether office is closed or open.)
EXAMPLE OF QUALIFYING EVENT
REQUIRED SUPPORTING DOCUMENTATION
Birth of a Child
Placement for adoption paperwork -or- Legal documentation of the adoption
Original signed divorce decree
Dependent’s enrollment in another employer’s benefits through job change or open enrollment
Proof of the enrollment including effective date of coverage, type of coverage (medical, dental, vision), and the names of dependents enrolled with their effective date of coverage.
Loss of benefits due to loss of job or loss of eligibility
Letter from former employer or print screens from insurance carriers listing:
Types of coverage lost, the last date of coverage, and the names of dependents losing coverage
**Switching plans during the plan year could cause your deductible and out of pocket limits to reset.
Benefits become effective the date of the event for a birth or adoption.
Marriage, divorce, and death become effective the 1st of the month following the event date.
**No changes will be made outside of the 31 day window allowed**