Initial enrollment applies to newly eligible active employees. An employee is required to complete an Application for Coverage form to apply for or waive coverage within the first 31 days of employment. The employee's Social Security Number must be provided on the Application for Coverage form in order for an employee to enroll in the Plan. Dependent information on the Application for Coverage form must include birth date, Social Security Number and mailing address, if different from the enrollee.
An employee may choose Base Coverage or Select Coverage at initial enrollment. If timely application is made and appropriate premiums are paid, the effective date of coverage for the employee and any eligible dependent(s) will be the first day of employment. If an employee does not enroll or if he waives coverage within 31 days of employment, application may be made only during an open enrollment or special enrollment period. Enrollment periods are discussed later in this section.