Eligibility and Plan Documents

Effective immediately, the following benefit plan amendments by employers will be accepted: 

  • COVID-19 testing at 100% coverage with no deductible, coinsurance or co-payment
  • Telemedicine with no deductible, coinsurance or co-payment
  • Upon request from the employer, we will allow for a 30-day supply of maintenance medications to assure an adequate supply in the event of potential quarantine situation, as long as they have been recommended or prescribed by a Physician. Only supplies up to the end of the stop loss policy year will be considered for eligible claims under stop loss

Plan amendments must be submitted to the MGU no later than August 30, 2020

We will also allow administrative for policyholders that close their business due to COVID-19 or governmental order related to COVID-19 effective immediately through April 30, 2020. Requests must be received by April 30, 2020.

Plan members considered Actively-at-Work the day prior to closure of the business will be considered Actively-at-Work. We will honor employers offering continued eligibility to a plan member who is quarantined and not actively at work.  Employees must return to work immediately following a quarantine period in order to continue active at work status. In the event they do not return to work, we would expect the Plan to follow all normal plan language related to the continuation of coverage.