If an employee’s benefits have been terminated, and the employee returns to Active Work within the designated timeframe from the termination date, coverage will be reinstated without Evidence of Insurability. This timeframe can be 6 or 12 months from the termination date, depending on carrier, so please contact your GroupSource representative for details. GroupSource must be notified within 31 days of the employee’s return to work date. The return to work date is the date that the employee qualifies as Actively at Work, see “Actively at Work” for more details.
If the written request for reinstatement is not received within 31-days of the member returning to work, the member is considered a Late Applicant, benefits are not guaranteed and the member may have to submit Evidence of Insurability.
Tips For Entering the Change in WEBS™!
- To reinstate benefits, please notify GroupSource (via WEBS™, email, fax, or mail) within 31 days of the employee’s return to work date.
- In the Employee Screen, change the employee’s status from Terminated to Active and enter the effective date.
- Review the Benefits Profile to ensure all member information is current.
- Make sure to reinstate the Dependent Life, Health Benefits, and Dental Benefits for the member and their dependents, if applicable.
- Review the member’s coverage prior to termination to ensure all benefits have been reinstated. The member may need to reapply for Optional Benefits, please contact your Billing Administrator if the member had these benefits prior to termination.
- If reinstated, the employee will have the same Personal Identification Number (PIN) that they had previously. Print the employee’s oneCard from WEBS™ if they did not keep their old card.
- GroupSource will process changes entered in WEBS™ within 24 hours.
If the employee returns to Active Work with the Employer after the expiration of the 6-month period, they will be treated as a new employee with all of the conditions that apply, including serving the Waiting Period. You will need to collect a new signed Enrollment Card. If you wish to Waive the Waiting Period for this employee, contact your Billing Administrator or enter a note in the Employee Notes section of WEBS™. The member will have a new Personal Identification Number (PIN), and will require a new oneCard.
Exception: If an employee is away from work on an approved Maternity and/or Parental leave, the allowable reinstatement period is 18 months.