Special Enrollment

2020 Special Enrollment

May 11-22, 2020

The recently ratified collective bargaining agreement between WMATA and Local
689 requires that the current CareFirst PPO be converted to a Point of Service
(POS) plan. This primarily impacts the financing and will not affect your benefits
or coverages. Everyone in the PPO plan will be automatically enrolled in the new
POS plan. Additionally, the 39-month waiting period for New Hires to enroll in the
PPO/POS plan has been eliminated.

As a result of these changes, there will be a Special Enrollment. Anyone
who wishes to change medical plans can do so between Monday, May 11, 2020
and Friday, May 22, 2020. No other changes will be permitted. Enrollment will
be effective July 1, 2020.

Remember to use the Self-Service Portal

Use the Member Self-Service Portal, EasyAdmin to enroll. Please use Google Chrome when accessing the Member Portal. Below are the instructions for using the portal:

Need More Information?

Please watch for additional information in the mail. It will contain important
information about how to make changes online, so do not lose or misplace the
letter.

See the "2020 Special Enrollment" section on the Forms and Documents page for Enrollment Forms.

FAQs Icon

FAQs

I am not working. Can I stay on the Plan’s coverage?

If you are not working, but you are still eligible for Plan coverage under the collective bargaining agreement, you may continue your coverage under the Plan by making monthly payments to the Plan during your period(s) of leave. You must notify the Health and Welfare office when you return to work.

If you are out on Workers’ Compensation, you must also make your monthly payments directly to the Health & Welfare Plan because they are not deducted from your paycheck or from your Workers’ Compensation benefits.

Payments are due on the first of the month. It is your responsibility to make your Health & Welfare payments on time. The Plan does not send notices of delinquent payments, nor will it send you a bill. If you do not make your payments on time, your coverage under the Plan will end. Consider permitting the Plan to deduct payments from your bank account. Contact the Plan for more information.

Coverage will retroactively end as of the monthly premium payment due date if the required monthly premium payment is not paid within 30 days from the due date (e.g., if the monthly premium payment for September, which is due on September 1, is not paid by September 30th, coverage would be terminated as of September 1). If coverage is terminated due to non-payment of the required monthly premium payment, you may again become covered (on a prospective basis) by sending in the required monthly premium payment for future coverage. Your coverage will re-start as of the first day of the month following receipt of the required monthly premium payment. You will not be permitted to retroactively reinstate coverage for any period of coverage that terminated due to non-payment of the required monthly premium payment.

If you are on a leave of absence for military duty, you are permitted to continue medical, dental, prescription drug, and vision benefit coverage under this Plan for you and your covered dependents in accordance with the Uniformed Services Employment and Reemployment Rights Act of 1994 (USERRA). Please see the “If You Enter Military Service”  section on the Life Events page for more information.

If your coverage ends due to termination of your employment with METRO, you may be eligible for COBRA for you and your family. Although METRO will notify the Health & Welfare Plan of your termination, you are also encouraged to inform the Health & Welfare Plan to avoid any delay.

If you lose Plan coverage due to the termination of your employment or any other reason, you may want to look into purchasing health coverage through a Health Insurance Marketplace.

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