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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 Total Rewards, via email at benefits@umsystem.edu; fax (573) 882-2146; 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, 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 March 15, 2017.