Who is eligible

Who is eligible

You

If you are a full-time or part-time associate regularly working at least 24 hours per week, you are eligible for coverage in Veradigm Health and Welfare benefit plans.

Your dependents

Your dependents who are eligible for coverage include your:

  • Legal spouse or domestic partner.
  • Dependent children up to age 26 (or older, if your child is permanently and totally disabled).

Important notes:

  • When covering a domestic partner, contributions for your domestic partner will be deducted on a post-tax basis. You will also pay taxes on the imputed income on the portion of benefits paid for by Veradigm for your domestic partner to be covered.
  • Have your dependents’ Social Security numbers (SSNs) on hand when enrolling them in benefits. U.S. health care reform requires SSNs to be reported to the IRS for each covered individual.
  • If you add a dependent to your health insurance coverage who does not qualify as a tax dependent under the Internal Revenue Code Section 152 and Notice 2010-38 (such as a domestic partner), the Fair Market Value (FMV) of VeradigmVeradigm contribution toward that coverage is considered a taxable fringe benefit, subject to tax withholding. This calculated fringe benefit is known as imputed income.
When to enroll

When to enroll

You are eligible to enroll in Veradigm benefits:

  • During the open enrollment period every fall.
    Your new elections made during this enrollment period will be effective on Jan. 1 of the following year
  • If you are a new hire or newly eligible.
    You have 31 days from your first day of eligibility to enroll.
  • If you have a qualifying life event.
    You have 31 days from the day of your qualifying life event to make elections.

Are you enrolling as a new hire? As a new hire, if you’re enrolling in benefits for the first time during Open Enrollment (or later), you will need to make elections for both the remainder of 2024 and for 2025. When you access the benefits enrollment system to select your 2024 benefits, the system will also prompt you to enroll in your 2025 benefits. Be sure to complete both steps to ensure your coverage is set for the rest of this year and for 2025.

How to enroll

How to enroll

To enroll, log into the Veradigm benefits enrollment system, then follow the steps below.

If you are already registered:

  1. Enter your user name and password. If you can’t remember one or both, click on Trouble Logging In? or call 1-844-705-4101.
  2. Once you are in the benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

If you are not registered:

  1. Enter your Social Security number or Employee ID, Company Key and Date of Birth. Company Key is: MDRX in all uppercase letters.
  2. Create your user name and password. (Make a note of your user name and password for future use.) Select your security phrase and answer. Click Continue.
  3. Log in with the new user name and password you just created in step 2. Read the Electronic Signature notification and click Accept to move forward.
  4. Once you are in the benefits enrollment system, click on the Start Here button and follow the instructions to enroll in your benefits or waive coverage.

Confirmation reminder!

Until you have received a confirmation number from the Veradigm benefits enrollment system, your benefit enrollment or change request has not been processed. Please make sure to print your confirmation number for future reference.

Qualifying life events during the plan year

Qualifying life events during the plan year

Life event changes must be made within 31 days of the event.

Federal regulations issued by the Internal Revenue Service do not allow you to change benefit options or make new elections during the year unless you have a qualifying life event.

Qualifying life events include:

  • Marriage, divorce, legal separation or change in domestic partner relationship.
  • Birth, adoption or change in legal custody of a child.
  • Death of a spouse or child.
  • Change in employment status that results in a loss or gain of benefits, such as beginning or ending employment, change in hours that affect benefit eligibility, or an unpaid leave of absence.
  • Change in dependent status of a child.
  • Significant change in spouse’s premium contributions.
  • Entitlement to Medicare, Medicaid or another insurance plan.
  • Change in spouse’s benefit elections.

All changes must be made within 31 days of the event. To report a life event change, go to veradigmbenefitsus.com and click on Start Here and then select Life Event Change. You will be required to provide documentation verifying your life event within 31 days of your request.

Tobacco surcharge

Tobacco surcharge

If you enroll in a Veradigm medical plan (BCBS or Kaiser Permanente), you must certify whether you use tobacco. If you certify that you are a tobacco user, you will pay a $25 per paycheck surcharge ($50 per month). This is in addition to your regular medical premium.

A “tobacco user” refers to the use of tobacco products within the past six months. Tobacco products include:

  • Cigarettes, cigars, pipes, snuff, chewing tobacco.
  • All forms of smokeless tobacco.
  • Clove cigarettes.
  • Any other smoking devices that use tobacco, such as hookahs, or simulate the use of tobacco, such as electronic cigarettes.

How to avoid or stop the surcharge

If you successfully complete one of our medical providers’ free Tobacco Cessation programs or are tobacco free for at least six months, you can apply to no longer pay the surcharge and you may be eligible for credit of any surcharge that you have paid. You must log into VeradigmBenefitsUS.com and change your Tobacco Use status to a non-user. Please note, it may take up to two pay periods before the surcharge is removed from your paycheck.

Commit to quit!

Veradigm understands the health benefits of a smoking-free lifestyle. To help all associates, both BCBSNC and Kaiser offer no-cost programs to help with quitting smoking.

BCBSNC

The BCBSNC tobacco cessation program is available to all associates and family members enrolled in the BCBSNC medical plans through PIVOT.

  • Pivot App provides personalized activities and challenges built for all schedules.
  • Nicotine Replacement Therapy to help reduce cravings.
  • The Pivot Breath Sensor to track progress.
  • Active user community for collective wisdom and text with experts for personalized support.

Pivot →

Kaiser

Kaiser offers the “quit smoking” program which offers a variety of options to help

  • Talk with a health coach or a tobacco cessation quitline.
  • Create a customized quit plan, identify triggers and develop strategies to manage cravings.

Quit Smoking →

AllCare Service Center

Enroll, make mid-year life event changes, find benefits information, or ask questions.

Available Monday through Friday from 8 a.m. to 8 p.m. ET.

844.705.4101
VeradigmBenefitsUS.com

Need assistance?

Health Advocate can help you find a medical plan that fits your needs and provide assistance with health care matters throughout the year.

Are your beneficiaries up to date?

Benefits Open Enrollment is a good time to review your beneficiaries for specific benefit plans, such as the life and AD&D insurance plans and the Retirement Savings Plan.

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