Process for Requesting of Review of Medical Benefit Eligibility

In the event that an employee, an employee’s supervisor or employee’s co-worker believes that an employee met the criteria to be eligible for medical coverage and was not offered coverage, the employee, supervisor or co-worker should complete a Request for Review of Medical Benefit Eligibility form. In order to be eligible for medical benefits, an employee must work on average 30 hours or more per week over the University’s measurement period, October 4th through October 3rd, across all jobs.

Once completed, the form should be submitted to Total Rewards, via email at benefits@umsystem.edu; fax (573) 882-9810; or mail: Total Rewards, Attn: Health Care Reform Analyst, 1000 W. Nifong Bldg 7 Suite 210, Columbia, MO  65211.

The employee will be notified once the form has been received. Once received, the form along with the employee’s job data and worked time recorded in Time and Labor will be reviewed. Once a determination has been made, the affected employee will be notified of the findings and provided an Election of Medical Coverage Form.

Employees who are deemed eligible for coverage will be offered coverage to begin the first day of the month following the determination. 

 

Request for Review of Medical Benefit Eligibility

Reviewed 2014-04-04.