What does termination mean for you?
There are several occasions where your Simply Benefits Plan can undergo termination. These instances include:
Your employer cancels their group plan.
You, as a member, decide to cancel your individual plan.
Over-age termination - This occurs when you are no longer eligible for any benefits in a plan due to your date of birth, for instance if your plan has is Life and AD&D that terminate at age 75
Dependents - Over-age termination occurs at 21 for dependents and at 25 for full-time students
Fraud or other miscellaneous reasons
When either your employee group benefits plan or individual benefits plan is terminated, your coverage will end on your Effective Date of Termination.
What does Effective Date of Termination mean?
The Effective Date of Termination marks the day that you are no longer covered under your Simply Benefits Plan Coverage. The Effective Date Termination Date is always the day after the last effective day of coverage. You will be unable to submit any claims with a service date on and from this termination date. For example, if your termination date is January 5th, you will not be able to submit any claims with a service date of January 5th onwards as this is after your last working day.
What can I do about any outstanding claims?
After your Effective Date of Termination, you will have 90 days to submit any previous claims that occurred prior to the effective date. After the 90 days, you will be unable to submit any of these missed claims. At this time, your employee account will be deactivated.
What happens to my Health and Lifestyle Spending Accounts?
Your Health and Lifestyle Spending Accounts will terminate on the same day as your Effective Date of Termination. This means that you will not be able to submit any regular spending account claims or top ups on your health claims from the date of your termination. Thus, if you have any outstanding claims or need top ups, these must be completed prior to your Termination Date. This does not apply to health and lifestyle spending accounts.