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Process for Requesting Review of Medical Benefit Eligibility

In the event that an employee, an employee’s supervisor, or an employee’s co-worker believes that an employee met the criteria to be eligible for medical coverage and was not offered coverage--or was offered coverage and believes they should not have been 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 4 through October 3, across all jobs.

Once completed, the form should be submitted to the UM System Office of Human Resources HR Service Center, via email at benefits@umsystem.edu; fax (573) 882-2146; or mail: Office of Human Resources, Attn: Health Care Reform Analyst, 1105 Carrie Francke Dr., Ste. 108, 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, if applicable.

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

Reviewed 2020-09-14

 

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If you speak another language, assistance services, free of charge, are available to you. Call UnitedHealthcare at 1-844-634-1237 for translation assistance.

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