If you would like to add a new dependent (baby or spouse) to your insurance plan, please send me the attached enrollment forms in an email. Please be aware that adding a dependent may increase your premiums (e.g., moving from Employee to Employee+Spouse coverage or from Employee+Spouse to Family coverage). For info on premiums: Medical Insurance Coverage and Rates.

RSLI Life Insurance Beneficiary

GuideStone Special and Late Applicant Enrollment

• Enrollment Deadline: 60 days from the date of the Qualifying Event.

EyeMed Vision

• Enrollment Deadline: 30 days for enrollment, but coverage begins the month following the date of enrollment.
• The vision plan is part of the cafeteria plan, so it may be only changed once a year during Open Enrollment at the beginning of November.

Lincoln Dental

• If a missionary already has dental insurance, he or she can add a dependent. If a missionary currently does not have dental insurance through Lincoln Financial, he or she would be considered a Late Entrant unless he or she is involuntarily termed from a parents’ or spouse’s plan.
• Adding Spouse
  • You have 31 days to add a Spouse if you had Lincoln dental insurance prior to marriage or if you are being involuntarily termed from another plan. After the 31 day deadline, your spouse will be considered a Late Entrant, and will not receive full coverage for a year. A Late Entrant only receives routine coverage like annual cleanings, not major services like surgeries.
  • Adding Baby
    • You may enroll your baby now or later.
    • If you already have family dental coverage, it is recommended to add the baby immediately since it will not increase your premiums.
    • You have until 31 days after your child turns 3 years old to enroll the baby. If you wait until after 31 days following the third birthday, your baby would be considered a Late Entrant and would have a waiting period of one year where the baby is only covered for routine exams, not injuries, diseases, or surgeries. After a year, the 3 year old would receive full coverage.
    • Lincoln Change Request. Complete:
      • Employer
      • Policy Number (if you have it. If not, I have it.)
      • Insured’s Name (yours)
      • Social Security Number
      • Dependents to be added
        • Under Relationship also include gender by specifying son or daughter
        • Late Entrant: No
    • Date, Insured’s Signature, Witness’ Signature