Termination of Benefits
Medical/vision and dental coverage for you and your family will terminate on
the last day of the month in which you terminate your employment or are in an
ineligible benefit status.
If you become ineligible for coverage, you and your eligible dependents may
have continuation rights for medical/vision, and Health Care Reimbursement
Account benefits under the federal law known as COBRA. If you terminate
your employment or are in an ineligible benefit status, you will be notified
about your continuation rights.
You will also receive a Certificate of Creditable Coverage according to the
Health Insurance Portability and Accountability Act of 1996 (HIPAA). This
certificate outlines the period for which you were covered under a
medical/vision plan with Henry Ford Health System. This certificate may be
used to satisfy pre-existing limitations in your new employer's plans.
Short term and long term disability coverage ends on the date of termination
or the date you are no longer eligible.
Employee and dependent term life insurance and accidental death and
dismemberment (AD&D) insurance terminate the last day of the month. Coverage
can continue for the employee and dependent life insurance, AD&D insurance
and long term disability insurance by converting to an individual policy. You
cannot convert the short term disability insurance. You have 30 days from the
date of termination to apply for conversion rights. Conversion forms are
available from Employee Services, One Ford Place, 4E, (313) 874-7100.
If you are terminating employment or are no longer eligible for benefits and
have a spouse who works at Henry Ford Health System and is eligible for
benefits, within 30 days of the date of your termination, your spouse can
complete an Enrollment Change Request Form (ECR). This form is available from
Employee Services. Your spouse will have the opportunity to make changes to the
following benefits:
|
Medical |
Enroll or change option |
|
Dental |
Enroll in the identical plan your spouse elected as an active
employee |
|
Life |
Increase or decrease coverage |
|
AD&D |
Increase or decrease coverage |
|
LTD |
Increase or decrease coverage |
|
Health Care FSA |
Enroll or increase |
|
Day Care FSA |
Enroll, increase or
discontinue |
|