[UCRDBR] UCPath - Supplemental Health Plans End-of-Year Enrollment Process

[Departmental Benefits Representatives]

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October 30, 2023

To:
Department Benefits Representatives
From:
Central HR Benefits Office on behalf of the UCPath Center
Re:
UCPath - Supplemental Health Plans End-of-Year Enrollment Process
_____________________________________________________________________________________________________
DBRs, please share this important information via your department listserv.

Due to the plan provider change from Aflac to Prudential effective January 1, 2024, special procedures are necessary for 2023 Supplemental Health Plan enrollments occurring from November 1, 2023, until the end of the 2023 plan (December 31, 2023).

Supplemental Health Plans (SHP)
Newly-eligible employees hired from November 1 to December 31, 2023, and eligible employees experiencing a qualifying life event during this time, who wish to enroll in or change elections in Hospital Indemnity, Accident and/or Critical Illness Insurance for the 2023 plan year, will need to complete a Benefits eForm before the end of their 31-day Period of Initial Eligibility (PIE). These plans will not be available for elections through the UCPath Self-Service from November 1 through December 31, 2023.

Supplemental Health Plan enrollments are effective as of the date of hire, the date of new eligibility, or the life event date. Coverage will continue to the following plan year; therefore, if an employee enrolls for 2023 and would like to waive or make changes effective January 1, 2024, they will need to make Open Enrollment elections via UCPath online.

The deadline for the 2023 plan year enrollments in the Supplemental Health Plans, regardless of effective date, is Friday, December 8, 2023, at 5:00 PM, Pacific Time.

After the deadline, all SHP enrollment requests must be submitted via a Benefits eForm before the end of their 31-day PIE, or at any time if the request is to waive or reduce coverage. These enrollments/changes will be effective January 1, 2024.

How to make SHP elections/updates after November 1, 2023

1) Benefits eForm

*       Employee can access the eForm through the UCPath system at http://ucpath.universityofcalifornia.edu<http://ucpath.universityofcalifornia.edu/> by following the steps below:

*       Select the Forms Library on the menu to the left of the UCPath Dashboard

*       Select Access Forms. User will be automatically redirected to the Forms Library page.

*       Under the corresponding Benefit category section, click on Benefits eForms: Submit New Form

*       Elect the employment category under the Employee Benefit Category section.

*       Click the Reason for Request drop-down menu and choose the corresponding request reason (e.g., Newly Eligible, Qualifying Life Event)

*       In the section titled "Please Explain Why You Are Using This Form" enter the following: 2023 Supplemental Health Plan Enrollment(s)

*       Navigate through the form to add new dependent(s) and make enrollment updates.

*       Agree to the Terms and Conditions and the signature acknowledgement.

*       Once user is ready for UCPath to process their form, click the Submit button.

*       View the confirmation of submission message

OR

2) Submit PDF Enrollment Form
If an employee is unable to access UCPath Online to submit a Benefits eForm, the employee or a benefits professional can request the PDF version of the corresponding enrollment forms be sent to them by visiting UCPath <http://ucpath.universityofcalifornia.edu/> (www.ucpath.universityofcalifornia.edu) and clicking on "Ask UCPath" to submit an inquiry or by calling UCPath and requesting the PDF Form.  Following is how employees can reach the UCPath Center:

Phone Number: 1-855-982-7284
Hours of Operation: Monday to Friday, from 8:00 AM until 5:00 PM, Pacific Time
Secure Fax Number: 1-855-982-2329
Mailing Address: 14350-1 Meridian Parkway, Riverside, CA 92518
Email Address: ucpath at universityofcalifornia.edu<mailto:ucpath at universityofcalifornia.edu>
Website Address: ucpath.universityofcalifornia.edu

A SHP 2023 End-of-Year Enrollment inquiry should include the following details:

Topic:             Benefits
Category:       Submit Form (select either Newly Eligible or Life Event)
Subject:          2023 Supplemental Health Plan Enrollment(s)

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