Frequently Asked Questions (FAQs)
Can I add a spouse or dependents to my plan?
Although we strive to provide you with the best insurance at the lowest cost, at this time only eligible Agency Providers can add dependent children and must pay the full-premium price. Coverage is not available for spouses.
Agency Providers: If you enroll your dependent child in coverage, you pay the full premium through automatic payroll deduction per child per month. If you would like more information about the price of dependent child coverage, please call a Health Benefits Specialist at 866-770-1917 and choose option 1.
Can I be covered by another plan at the same time that I’m enrolled in the SEIU 775 Benefits Group ?
Yes, as of 6/1/2019 SEIU 775 Benefits Group allows dual coverage.
How many hours do I have to work for continuing coverage?
You need to maintain 80 hours per month going forward for continuous coverage.
I am reaching 65 years of age and would like to know how my insurance will work with Medicare.
If you are enrolled in Medicare or Medicaid, you may enroll in the SEIU 775 Benefits Group plan, and your Medicare or Medicaid coverage becomes secondary to your coverage through SEIU 775 Benefits Group.
I don’t have enough hours some months resulting in a lapse in coverage, do I have to meet the initial eligibility requirements again?
If your lapse in coverage has been shorter than 12 months, you will not have to meet the initial eligibility criteria again. However, the administrative month still applies.
For example, if Peggy was previously enrolled in health coverage through SEIU 775 Benefits Group but works less than 80 hours in March, Peggy will lose coverage in May. However, if she works 80 hours in April, she will be automatically reinstated into her health benefits in June.
If you’ve been out of the plan for 12 months or more, you will have to fill out a new application and meet initial eligibility criteria again. Initial eligibility criteria are met by working two months of 80 hours and waiting the one-month administrative period.
If I cancel my insurance, can I enroll again later?
Yes, however participants and their child dependents who decide to voluntarily disenroll from an SEIU 775 Benefits Group plan must meet their eligibility criteria again and be subject to the SEIU 775 Benefits Group Open Enrollment period or a qualifying life event.
What is the eligibility criteria for the SEIU 775 Benefits Group plan?
You must submit an application and work at least 80 hours per month for at least two months in a row to gain coverage. After your coverage begins, you must work at least 80 hours each month to have continuous coverage. Training hours and accrued vacation hours can be used to satisfy the 80-hour requirement.
For Example, Cassie worked 80 hours in January and February. If she completes an application by March 15, her health coverage will begin on April 1.
When can I apply for coverage through SEIU 775 Benefits Group?
You can apply at any time but will only be enrolled when you meet eligibility requirements. After submitting an application, your application will stay on file for 12 months.
Applications can be found here:
Applications can be mailed to:
Zenith American Solutions, Inc.
11724 NE 195th Street, Suite 300
Bothell, WA, 98011-3145
When will my coverage be effective?
You must submit an application and work 80 hours each month for two months in a row and maintain 80 hours per month going forward for continuous coverage. Your coverage will begin based on the table below:
|You worked at least 80 hours||You worked at least 80 hours||Administrative period||Coverage begins on May 1st|