Neighborhood Health Plan

Reminder to Employers

Changes in an employee's personal information or job status have a direct impact on their insurance coverage and payment for care under their insurance policy. It is essential that updated employee information be communicated to NHP in a timely manner to ensure that there are no lapses in health coverage for your employees. Examples of such changes include:

• Home Address/Phone Number
• Marriage
• Birth of a child
• Adoption of a child
• Legal guardianship of a child
• Court ordered coverage decisions
• Divorce
• Remarriage of insured
• Dependent turning 19 years old
• Marriage of a Dependent
• Termination of a dependent's student status
• Death of Insured
• Death of a covered spouse or dependent

Here are some things you as an employer can do to improve the timely and accurate reporting of employee information to NHP:

• Use available electronic pathways to update employee information. If not already in use, work with your health insurance plan(s) to adopt the use of the government approved HIPAA 834 format.
• Educate your employees. Work with your health insurance plan(s) to educate your employees about the importance of providing you and their health insurance plan with timely updates to personal information that will impact their insurance policy and coverage under that policy.

You can make a real contribution to streamlining and simplifying this process and ensuring that your employees' health insurance coverage is there when they need it.