Page 5 - 2015 ASARCO Enrollment Guide
P. 5
ASARCO
Life Changing Events
Changes During Year Coordination of Benefits
You can make changes to your Medical, Dental, Vision, and Coordination of Beneits (COB) applies
Flexible Spending Account selections during the year only if whenever a covered person has health
you experience a “qualiied status change.” You must notify coverage under more than one plan. The
Human Resources within 31 days of the event. It is your purpose of COB is to help pay for covered
responsibility to notify Human Resources when a dependent is expenses, but not to result in total beneits that
no longer eligible for beneit coverage. are greater than the covered expenses incurred.
You can make enrollment changes to your beneits if you ASARCO LLC will coordinate with other
experience any of the following life changing events. plans, such as other medical, vision, and dental
plans.
X Marriage, divorce, legal separation, or annulment
X Birth, adoption of child, or Qualiied Medical Child The primary plan pays without regard to the
Support Order (QMCSO) possibility that another plan may cover some
X Death of a covered dependent expenses. A secondary plan pays for covered
X Your dependent becomes eligible for beneits through new expenses after the primary plan has processed
the claim, and will reduce the beneits it pays
employment so that the total payment between the primary
X Your dependent loses coverage under any group health plan and secondary plan does not exceed what
plan the plan would have paid if primary. If the
X A change in your dependent’s employment status including covered beneit under this plan is less than or
termination, change from full-time to part-time (or vice equal to the primary plan’s payment, then no
versa), or unpaid leave of absence payment is made by this plan.
X The cost of a beneit package option signiicantly increases The plan that covers a person as an Employee
or decreases during a period of coverage or subscriber is considered primary. If more
X Dependent ceases to satisfy eligibility requirements than one plan covers the same person as a
Z Attainment of non-qualifying age (medical, dental, dependent, rules for primary and secondary
vision, and life insurance coverage) coverage are described in the Summary Plan
Z Due to marriage (dental and life insurance coverage) Description.
Z Due to change in dependent status (dental and life Members are responsible for notifying UMR
insurance coverage) if they have other health coverage (including
Medicare) besides their coverage through
ASARCO LLC. Contact Member Services at
866-868-7406.
5
Life Changing Events
Changes During Year Coordination of Benefits
You can make changes to your Medical, Dental, Vision, and Coordination of Beneits (COB) applies
Flexible Spending Account selections during the year only if whenever a covered person has health
you experience a “qualiied status change.” You must notify coverage under more than one plan. The
Human Resources within 31 days of the event. It is your purpose of COB is to help pay for covered
responsibility to notify Human Resources when a dependent is expenses, but not to result in total beneits that
no longer eligible for beneit coverage. are greater than the covered expenses incurred.
You can make enrollment changes to your beneits if you ASARCO LLC will coordinate with other
experience any of the following life changing events. plans, such as other medical, vision, and dental
plans.
X Marriage, divorce, legal separation, or annulment
X Birth, adoption of child, or Qualiied Medical Child The primary plan pays without regard to the
Support Order (QMCSO) possibility that another plan may cover some
X Death of a covered dependent expenses. A secondary plan pays for covered
X Your dependent becomes eligible for beneits through new expenses after the primary plan has processed
the claim, and will reduce the beneits it pays
employment so that the total payment between the primary
X Your dependent loses coverage under any group health plan and secondary plan does not exceed what
plan the plan would have paid if primary. If the
X A change in your dependent’s employment status including covered beneit under this plan is less than or
termination, change from full-time to part-time (or vice equal to the primary plan’s payment, then no
versa), or unpaid leave of absence payment is made by this plan.
X The cost of a beneit package option signiicantly increases The plan that covers a person as an Employee
or decreases during a period of coverage or subscriber is considered primary. If more
X Dependent ceases to satisfy eligibility requirements than one plan covers the same person as a
Z Attainment of non-qualifying age (medical, dental, dependent, rules for primary and secondary
vision, and life insurance coverage) coverage are described in the Summary Plan
Z Due to marriage (dental and life insurance coverage) Description.
Z Due to change in dependent status (dental and life Members are responsible for notifying UMR
insurance coverage) if they have other health coverage (including
Medicare) besides their coverage through
ASARCO LLC. Contact Member Services at
866-868-7406.
5
