To Make Changes

Open Enrollment - Changing Your Medical or Dental Option

You may change your TBT medical and dental options once a year during Open Enrollment. Open Enrollment takes place from mid-August through September and all changes are effective October 1 (whether or not you have received an HMO membership card by then). So even if you send in a form to change your medical or dental options during Open Enrollment, you remain enrolled in your old medical and dental options until October 1.

Each August (if you keep your address up-to-date), you will receive a special Open Enrollment mailing. To make changes, send a new Medical Option Form and/or Dental Option Form to the Plan Administration Office by the deadline. If you do not use this form to request a change during Open Enrollment, your existing coverage options will continue until the next Open Enrollment.

However, you may be able to change medical or dental options when you move out of an HMO service area. Other changes outside the annual Open Enrollment will be considered upon written request sent to the Board of Trustees (in care of the TBT Plan Administration Office).

Important:

For HMO coverage to be effective, all forms (including the required HMO application) must be received by the Plan Administration Office by the September deadline printed in the Open Enrollment materials.