Enrollment -
Add/Disenroll Employee

To add an employee please have your employee fill out an Application/Enrollment form and remit to the nearest Scott & White Health Plan office or fax to 254-298-3199.

All groups must have a 31-day open enrollment period. An employee's Application will be accepted 31 days from the date of the qualifying event or Group Contract effective date and will be effective retroactively to the appropriate effective date.

With a new group, the employee has 31 days from the Group's Contract effective date to submit the Application/Enrollment form for coverage and still be effective retroactively to the original Group Contract effective date. The employee must have met the new hire waiting period.

To disenroll an employee, please fill out an Application/Enrollment form and remit to the nearest Scott & White Health Plan office or fax to 254-298-3199. Also, don't forget to notify CONEXIS if an employee or dependent is being disenrolled due to a COBRA qualifying event.

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