Initial Dose The company employs about 2,600 people, owns $10 billion in assets, and generates approximately $2
We harness the strength and capabilities of our six utilities serving 10 million customers across Delaware, Illinois, Maryland, New Jersey, Pennsylvania and the District Return this form to EBD: Affidavit of Spousal Health Care Coverage Pursuant to Arkansas Code §21-5-407(4), any spouse who is offered coverage for Medical Benefits under any other employer-sponsored health plan is NOT eligible to be covered under the Plan
Spousal carve-outs are plan provisions that restrict coverage for employees’ spouses
No surcharge applies for a spouse who is
Employees electing health insurance coverage on their spouse for the first time, after a
employer
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Summary
Your spouse must complete Part 2 and attach the documents listed in Part 3
Pursuant to Arkansas Code §21-5-407(4), any spouse who is offered coverage for Medical Benefits
Employers can choose to go a step further and extend other nonfederally regulated benefits for which the employer incurs the cost on behalf of domestic partners
This allows the University to maintain affordable coverage for its employees, spouses who have no other health care choice, and dependent children
NO
My employer states that if a spouse has medical coverage available to them via their employer, then we're required to pay an unsubsidized premium for them to be included under our plan (~$500/mo)
Employer: _____ Employer Contact Person Fill in for the employee who’s ofered job-based health coverage
Please review and check the appropriate box below
Your spouse’s coverage on United Healthcare will end at the end of the calendar year and they will not be eligible for healthcare coverage the following year
Many couples sharing health benefits under an employer-based plan are surprised when the one working spouse retires
An Affidavit is a formal written statement of facts voluntarily made by an affiant under an oath or a public official such as the notary public or a person authorized to do so
Human Resources will be following up after Open Enrollment