2009 NCMS Plan Customer Survey Results
The NCMS Plan conducted its annual Customer Survey in February. Again
this year, the response rate was excellent with 30% of participating
practices responding. We appreciate the feedback and are happy to report
that participating practices continue to have a positive overall feeling
towards the NCMS Plan and the service provided.
We are pleased with the results of the survey, but acknowledge there
are areas where we can improve. We will continue to work diligently to
bring you the best Plan possible. Our efforts will include providing
excellent customer service in all areas of the Plan, as well as offering
workshops and informational sessions on topics important to you. In fact,
this most recent survey asked questions about employee health and wellness
education in your practice. We see a significant opportunity to increase
education and gain participation in many of the wellness programs that are
Probationary Periods Waived for Re-Hires After Lay-Off
The NCMS Plan is waiving probationary periods for employees re-hired
with your practice within 90 days of being laid off. In this situation,
the employee will be eligible for coverage effective the date of re-hire.
Please note: this guideline does not apply to employees who voluntarily
terminate employment. The NCMS Plan is not changing rules regarding
pre-existing condition exclusions. If the employee has had a break in
coverage greater than 63 days, the employee will still be subject to
pre-existing condition exclusions.
BCBSNC is currently working to add new functionality in the
eBenefitsNow tool that will enable employers to apply this new
probationary period waiver to their re-hired employees. Until this new
functionality in eBenefitsNow is added, employers must submit paper
enrollment forms when enrolling a re-hired employee. Follow process
Question: An employee recently gave birth to her first child. How
much time after the date of birth does she have to add the child to her
Since the NCMS Plan does not process enrollments or changes retroactively beyond 30 days, it's always best to submit any transactions concerning dependent coverage within that "timely" 30-day timeframe.
The Children’s Health Insurance Program Reauthorization Act of 2009
(CHIPRA) was signed into law on February 4, 2009. As of April 1, 2009,
employer-sponsored health plans, including the NCMS Plan, must provide
special enrollment periods if the employee or dependent is covered under
Medicaid or CHIP, and loses that coverage because of loss of eligibility.
Employees will have to request coverage under the group health plan no
later than 60 days after the date of coverage termination under Medicaid
or CHIP. The NCMS Plan is prepared to begin accepting employees designated
by employers as eligible for special enrollment.
New Verification of Coverage Feature
NCMS Plan members who are ordering a replacement ID card from the Web
can now print a one-page verification of coverage to share with healthcare
providers or pharmacists prior to receiving their ID cards.
Group Benefits Continuation
Did you know that your employees may be eligible to continue their
group coverage if their employment ends or if they are no longer eligible
for benefits? The following is the second part of a two-part series (first
February 2009) providing a snapshot of the continuation provisions
mandated at the federal and state level. As the employer, you are
responsible for understanding these laws and meeting the obligations
outlined. For more complete continuation information, visit the U.S. Department
of Labor or the North
Carolina Department of Insurance.
An eligible employee must notify you of their intention to continue
coverage and pay the applicable fees before their period of eligibility
ends (60 days after the date of termination or loss of eligibility). The
state law benefits run concurrently and not in addition to any applicable
federal continuation rights. Dental and vision plans are not subject to
state continuation guidelines.
About the North Carolina Medical Society
As the largest physician organization in the state, the North Carolina
Medical Society (NCMS) is devoted to representing the interests of
physicians and protecting the quality of patient care. The NCMS Plan,
sponsored by the NCMS, is the only statewide employee benefits plan
designed specifically for North Carolina physicians.
|© 2009 North Carolina Medical Society Employee
Benefit Plan. All rights reserved.|
PO Box 97968 Raleigh, NC 27624
919.872.7117 | 800.662.7917 | 919.878.7590 FAX | Disclaimer | www.ncmsplan.com
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