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Applying for Enrollment

Workers wishing to enroll themselves or their dependents should complete an Annual Open Enrollment Form and give it to their employer so that it can be mailed to Concordia Plan Services’ office by the due date set each fall by Concordia Plan Services. The enrollment form is available from the employer. Enrollment will be effective the following January 1 if the completed form is submitted by the due date set by Concordia Plan Services. If possible, a HIPAA certificate of prior coverage should be attached to the form. If a HIPAA certificate is not readily available, but will be soon, the enrollment form should still be mailed prior to the deadline date to ensure coverage for the following January 1. The HIPAA certificate can be mailed at a later date when it becomes available.

 
Once Concordia Plan Services receives the HIPAA certificate, the enrollee’s file will be adjusted accordingly. A HIPAA certificate can be obtained through the Human Resources department of an employer (for group health coverage plans) or through an agent of an insurance company (for individual plan coverage). In most instances, the insurance company sends a HIPAA certificate within 30 days after termination. If the certificate is needed sooner, special requests may need to be made to the employer or insurance company.
 

The certificate should include the names of dependents covered under the other insurance plan if those dependents are being enrolled in the CHP under the Annual Open Enrollment Period.

 
If you will be mailing your HIPAA certificate separately from your Annual Open Enrollment Form, please address it to:
Concordia Plan Services
Attention: Enrollment Services
P.O. Box 229007
St. Louis, MO 63122-9007

 
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