You may enroll yourself and your dependents within 31 days of your first day of employment and completion of any Policyholder required waiting period by completing an enrollment/change form. The Policyholder shall give all newly hired employees or members of the group, AAHPS’ enrollment/change form and descriptive literature as soon as they become eligible for coverage. If subscribers do not apply within 31 days of the date they become eligible, they must wait until the next open enrollment period or a special enrollment period. The open enrollment period is the first 30 days preceding the group’s renewal date.

All enrollment/change forms should be submitted promptly to:

Member Services
Health Plan Select
295 W. Clayton Street
Athens, GA 30601

Enrollment/change forms can also be faxed to 706-549-8004

• Enrollment form
• Change form
• Transition of Care

Qualifying Events for Special Enrollment

If you and/or your family dependents are otherwise eligible for coverage but declined enrollment within the first 31 days of the date you became eligible to enroll, you may enroll during a special enrollment period if:

• The other coverage was COBRA continuation coverage under another group health plan and such coverage has been exhausted.
• The other coverage was terminated as a result of loss of eligibility for the coverage or Policyholder contributions towards the other coverage have terminated and you and your dependent(s) request such enrollment no later than 31 days after the date of exhaustion or termination of the credible coverage.
• You are enrolled and have a new dependent as a result of marriage, a birth, adoption of a child or the placement of a child for adoption with you.
• You and your spouse are not enrolled and have a new family dependent provided you and your spouse are otherwise eligible.
• You have a loss of coverage under another health plan due to a divorce or legal separation.

*For an exhaustive list of qualifying events, please refer to the Evidence of Coverage.

Waiting Period

The period of time chosen by the employer after the initial date of employment before the employee becomes eligible for group healthcare coverage under the plan.