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Trustmark Group Benefits Administration Manual
Introduction
About Trustmark Group Benefits
Our Dedicated Staff Dispenses Quality Service
Administering Your Plan
Trustmark Administered Plan
File Maintenance
Employer Responsibilities
Clerical Errors
Deliverables
Insurance Booklet
Unique Member Identifier
Initial Enrollment over the Phone or the Web
Coverage Letters
Certificate Amendment Pages
Identification Cards
Eligibility & Enrollment Guidelines
Eligibility and Effective Dates
Eligibility
Effective Dates
Effective Dates for Non-Contributory Plans
Effective Date for Contributory Plans
New Employee Enrollment
Open Enrollment
New Employee Enrollment
Procedure for Express Enrollment of New Employees
Procedure for Manually Enrolling New Employees
Enrolling Dependents
Waiving Coverage
Special Enrollment
Special Enrollment Due to Termination of Prior Coverage
Procedure for Express Enrollment of Special Enrollments Due to Prior Coverage
Procedure for Manually Handling Special Enrollments Due to Prior Coverage
Special Enrollment Due to a Change in Life Status
Procedure for Express Enrollment of Special Enrollments Due to Change in Life Status
Procedure for Manually Handling Special Enrollments Due to Change in Life Status
Late Enrollment
Proceduere for Express Entry of Late Enrollees
Procedure for Manual Entry of Late Enrollees
Verification of Dependent Eligibility
Procedure for Express Verification of Dependent Eligibility
Procedure for Manual Verification of Dependent Eligibility
Procedure for Express Verification of Dependent Eligibility for an Incapacitated Dependent
Procedure for Manual Verification of Dependent Eligibility for an Incapacitated Dependent
Beneficiary Designations
Individual Beneficiaries
Relationships
Estates
Guardians
Multiple Beneficiaries
Primary and Contingent Beneficiaries
Titles
Organizations or Endowments
Trusts
Effect of Divorce
Procedure to Make Beneficiary Changes Through Express
Procedure to Manually Make Beneficiary Changes
Changes
Procedure to Make a Change using Express
Procedure to Make a Change Manually
Canceling Coverage
Procedure for Canceling Coverage through Express
Procedure for Canceling Coverage Manually
Terminations
Procedure to Terminate Members from the Group Insurance Plan through Express
Procedure to Terminate Members from the Group Insurance Plan Manually
Premium Submission
List Bill
Automatic Payment Withdrawal
Grace Period
Claims Administration
Claim Submission
Coordination of Benefits (COB)
Medical Claims
Providers
Members
Prescription Drug Claims
Procedure for Submitting Prescription Drug Claims
Dental Claims
Providers
Members
Explanation of Benefits (EOB)
Life Claims
Procedure for Submitting Life Claims
Waiver of Premium
Procedure for Waiving Premium
Accidental Death Claims
Procedure for Submitting Accidental Death Claims
Accidental Dismemberment Claims
Procedure for Submitting Accidental Dismemberment Claims
Short-Term Disability Claims
Procedure for Submitting Short Term Disability Claims
Long-Term Disability (LTD) Claims
Procedure for Submitting Long Term Disability Claims
When Coverage Ends
Conversion of Insurance
Conversion of Life Insurance
Procedure for Conversion of Life Insurance
Conversion of Medical Insurance
Procedure of Conversion of Medical Insurance
Continuation of Coverage
Procedure for Continuation of Coverage
Procedure for Manual Entry into Continuation of Coverage
Ceridian COBRA Continuation of Services
Tax Issues
Trustmark Responsibilities
Monthly
Quarterly
Annually
Group Employer Responsibilities
Monthly
Quarterly
Annally
Disability Benefits, Taxes and Section 125
Glossary
Administration Forms