Virginia Administrative Code
Title 1 - ADMINISTRATION
Agency 55 - DEPARTMENT OF HUMAN RESOURCE MANAGEMENT
Chapter 20 - COMMONWEALTH OF VIRGINIA HEALTH BENEFITS PROGRAM
Part IV - Employee Participation
Section 1VAC55-20-350 - Membership
Universal Citation: 1 VA Admin Code 55-20-350
Current through Register Vol. 41, No. 3, September 23, 2024
A. Type of membership. Participants have a choice of three types of membership under the program:
1. Single (employee only). If a
participant chooses employee only membership, the health benefits program does
not cover the employee's dependents (spouse or children). A woman with single
membership under the program does have maternity coverage. However, the newborn
child is covered only for routine hospital nursery care, unless the mother
changes to dual or family membership within 31 days of the date of
birth.
2. Dual (employee and one
eligible dependent).
3. Family
membership (employee and two or more eligible dependents).
B. Changing type of membership.
1. Employees may change membership subject to
1VAC55-20-370.
a. During open enrollment.
b. Within 31 days of a qualifying mid-year
event. Any such change in membership must be on account of and consistent with
the event.
c. Within 31 days of a
cost and coverage change, as acknowledged by the department.
2. All changes in membership must
be made on a prospective basis except for the birth, adoption or placement for
adoption of a child.
3. If the
change is from single to dual or family membership or vice versa because of a
qualifying mid-year event, the employee must certify in the enrollment action
the type of event and the date of the event.
Statutory Authority: § 2.2-2818 of the Code of Virginia.
Disclaimer: These regulations may not be the most recent version. Virginia may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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