Being Benevolent Can Cost You, Big Time!
Throughout the years, Cypress has worked through many issues with our clients. One that seems to continually come up is to determine how employers can keep employees eligible for the health plan during leaves, layoffs, etc.
While many employers feel sympathetic and want to allow an employee/dependent coverage, if the person no longer meets the eligibility definition, the employer is at financial risk
since carriers will typically not cover claims for an ineligible member. Therefore, it is imperative to follow the eligibility provisions
laid out in your summary plan description (SPD). Learn more about SPD provisions, options, etc. <back to top>
Medical Trend - How it Affects Your Stop-Loss Insurance Renewal