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Full Version: Does a multiemployer health plan have obligation to allow retiree to enrollnew spouse or dependent?
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mal
This is a multiemployer health plan that provides
health care benefits to active union members
and retirees who are not yet eligible for Medicare.

A situation has arisen where a man retired and began
paying for single retiree coverage. (The plan offers
retirees single; single plus one; or family coverage.)
His girlfriend is now pregnant and they are going to
be married. He has requested to add both as
dependents and begin paying the family rate.

ERISA 701(f) would seem to indicate that he has
the right to do so, but I would like to know the
opinion of those who deal with this type of mess
on a daily basis.

The plan is silent on the issue.

Thanks
mal
Anyone there??

I found the EBSA guidance which mentions
only "eligible employees" but I would still
like to hear from anyone else with an opinion
on the matter.
oriecat
Does this help?

http://www.ebia.com/weekly/questions/2003/HIPAA031126.jsp
mal
Perfect. That is just what I was looking for.
Thanks for the help.
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