Life Events

A qualifying life event is a change in your circumstances, such as marriage, divorce, and disability, which may impact your health benefits. Notify the Plan immediately when you experience a life event.

Beacon Health Options will become Carelon Behavioral Health

Introduction – what is happening 

We have exciting news to share. On March 1, 2023, Beacon Health Options (Beacon) will change its name to Carelon Behavioral Health. 

How will this affect you?

You and your health are our top priority. The name change will not impact your plan or your service.

  • You do not need to take any action. 
  • Your benefits and plan will not change.
  • You can see all of your previous doctors and health professionals.
  • All phone numbers, emails, websites, and apps will redirect you to the right place.

Why the change?

By joining the Carelon brand, Beacon is able to expand its reach and its network. This helps them deliver services to meet all of your health needs. 

Carelon Behavioral Health is here for you.

Carelon Behavioral Health is committed to connecting you to the care you need. Please continue to reach out with questions or concerns. 

Mental Health and Substance Abuse Disorder benefits

 

Working Spouse Rule

The Plan’s Working Spouse Rule states that, if your spouse is working for an employer who offers a health plan, the Plan requires them to enroll in that employer-sponsored coverage to be eligible for Plan coverage.

Open Enrollment

This section explains when and how you complete your Active Plan enrollment.

Your open enrollment period is based upon your benefit period. Please refer to the chart below and your enrollment materials to determine which period applies to you.

What happens if I am late with my premium payment?

If your payment is not received by the due date, including the grace period, you may reinstate your coverage by using a late payment waiver. For Earned Eligibility, the Plan allows one late payment waiver per three-year waiver period. The first three-year waiver period begins on January 1, 2023 and is reset every three years thereafter.

The three-year reset period applies to all Participants and is not dependent on when you use a waiver. For example, if you use your one waiver in March 2024, you will again have a waiver available as of January 1, 2026. Senior Performer Dependents and Senior Performer Surviving Dependents are eligible for one late payment waiver per Benefit Period. Participants may use a late payment waiver up to the last day of the quarter for which the payment is due.