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Decline Individual Coverage for Medical Insurance Plan or Medical Benefits Plan for ¶¹ÄÌÊÓƵAPP/¶¹ÄÌÊÓƵAPP Couple



Summary

In cases of marriage or domestic partnership between members of the World ¶¹ÄÌÊÓƵAPP Group staff, the couple cannot be covered both as staff and as eligible family members under the other staff member¡¯s Medical Insurance Plan (MIP).

¶¹ÄÌÊÓƵAPP couples can elect one of the following options:

  • Two individual plans:

o  For Headquarters (HQ) staff, two separate MIPs

o  For country office (CO) staff, two separate Medical Benefits Plans (MBPs)

o  One MIP and one MBP.

  • Two individual plans with eligible family members:

o  One staff member + some or all eligible family members in one plan

o  Other staff member + other eligible family member in the other plan.

  • One plan with all eligible family members for medical plans¡ªthis includes spouse/domestic partner and dependent children.

In order to be covered under one MIP/MBP, one of the staff needs to decline the individual coverage and assume coverage as an eligible family member for medical plans.

Step

Action

 

Action by Staff

01

  • For CO staff:

    Complete form .
  • For HQ staff:

    Complete form .

02

Submit the completed form to HR Operations for processing.

 

Action by HR

03

Send an email to the staff member confirming enrollment and/or change.

04

Check the enrollment status on .

Note:

Enrollment/change in coverage is effective from the first of the month following the receipt of the request.