HMO Plan CC 70/5000 Questions and Answers:

When can employees enroll in coverage?
Employees have 30 days from their first day of work to enroll. If they waive during their initial enrollment period then change their mind, they must wait for annual open enrollment or for a qualifying life event.

When does coverage go into effect?
Coverage will go into effect immediately after the employee has worked 90 days. *If their assignment ends and they start another assignment within 30 days, their coverage will remain in effect.

When is Community Care’s annual open enrollment period?
The month of December.

When do employees receive their insurance card?
They will receive their ID cards and information regarding their coverage in the mail within two weeks of the effective date.

How do employees make changes or cancel coverage?
Employees can only make changes or cancel their coverage during an open enrollment period or during a qualifying life event. They are only able to cancel during one of these periods, because Community Care is deducted on a pre-tax basis – meaning the premium is deducted from their check before taxes are calculated.

How is the premium paid to Community Care?
The premium is payroll deducted on a weekly basis, starting 30 days before their coverage is effective. This is because Community Care is paid one month in advance.

Does Community Care offer any coverage other than medical?
We can only offer medical coverage through Community Care. There is no option for dental or vision. However, Community Care does cover seeing an optometrist for routine eye care once per year.

What doctors are in Community Care’s network?
Community Care’s network is St. John and St. Francis. Enrollees can view the Provider and Pharmacy directories on Community Care’s website.