b'When Can I Join? An eligible annuitant and/or dependent may initiallycoverage through December 31 of that year. CTPF enroll in a CTPF plan once in a lifetime, unless he or sheinsurance coverage becomes effective the following experiences a qualifying event noted below.January 1.Initial Enrollment Period2025 Open EnrollmentYou may initially enroll in CTPF coverage when one of theThe annual Open Enrollment Period is the time when you following events occurs: or a dependent can enroll in a CTPF plan or change plans. Within 30 days after COBRA continuation coverage Open Enrollment runs October 1 - 31, 2024. Changes made ends,* unless coverage is cancelled due tonon- during Open Enrollment become effective January 1, 2025.payment of premium Get started by following these steps:Within 30 days of the effective date of pension/survivor benefits 1.Make sure you understand any plan changes.During the annual Open Enrollment Period 2. If you are currently enrolled in a CTPF plan and you (once in a lifetime)want to continue coverage, you do not need to take any Within 30 days of first becoming eligible foraction. Your coverage will continue. Medicare3.If you or a dependent want to enroll or change plans, you When coverage is cancelled by a former group must complete the appropriate enrollment forms. Seeplan through no fault of your ownthe How to Enroll section of the comparison charts for *If COBRA coverage ends December 31, 2024, you mayplans not included on the enrollment form.enroll in a CTPF plan during the Open Enrollment Period,4. Return all completed enrollment forms and requiredOctober 1 - 31, 2024. Coverage becomes effectivedocumentation to CTPF. Forms returned to an insuranceJanuary 1, 2025. carrier will not be processed. Special Enrollment Period CTPF encourages members to submit forms by fax or email when possible. See the Contact section for email, fax, and In addition to the annual Open Enrollment Period, youmailing information. have 30 days after a qualifying event to change plans or add an eligible dependent. Qualifying events may include: Changes That Impact Enrollment change in permanent address that affects theIts important to keep CTPF informed if you have any of theavailability of current coveragefollowing changes which may affect your enrollment status: marriage/civil union or divorce/dissolutionchange of address for you or your dependents birth, adoption, or legal guardianship death of a spouse or dependent t ermination of a Primary Care Physician for marriage, civil union, divorce, legal separation, annul-HMO plan enrollees ment becoming eligible for Medicare dependent loss of eligibility Please indicate the qualifying event on CTPF Form 350 andchange in Medicare status, including turning age 65, include any supporting documents detailing your reasonbecoming Medicare eligible before age 65, or loss of for loss of coverage.Medicare coverage for any reasonyou have been awarded benefits under Medicaid One Time Opt-In (it is important that you contact CTPF once you are Eligible members may re-enroll in ainformed that you have been approved to receive any CTPF health insurance plan one timetype of Medicaid benefits; a copy of your Medicaid without a qualified change in status (marriage, birth, death,award letter should also be sent to CTPF)etc.). Members who want to rejoin a CTPF plan must do soyour health plan or prescription ID card does notduring a CTPF Open Enrollment Period. A member applyingreflect your current enrollmentto re-enroll must have proof of insurance coverage (medicalyour pension deduction does not match yourand prescription drug) as of the beginning of the opencoverage or required premiumCTPF 2025 NON-MEDICARE HEALTH INSURANCE HANDBOOK enrollment period (October 1), and maintain CTPF 2025 NON-MEDICARE HEALTH INSURANCE HANDBOOK 7'