Health Insurance ??
 
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Health Insurance ??

(@marie1)
Posts: 3
New Member
Topic starter
 

I took a new job back in October, 2010, simply for the benefit of health insurance being offered at a 60/40 benefit that I did not have the option of in my previous job. To date I still do have the health insurance.....................always an excuse of open enrollment period, contract negotiations etc etc. I have recently been told by others that it is law here in STX that the health insurance should have been in effect within a 3 month period of time. Can anyone verify that? I have searched the Internet and of course can not find anything saying such.

 
Posted : June 6, 2011 7:14 pm
(@ms411)
Posts: 3554
Famed Member
 

That may apply to EDC companies only. Is your employer an EDC beneficiary? If so, you can google to find out what they have to do to stay in compliance. If it's not an EDC, I don't think the govt dictates health insurance coverage.

 
Posted : June 7, 2011 10:37 pm
(@Lizard)
Posts: 1842
Noble Member
 

If you are an employer (small company) and you have a small group insurance plan. the insurance company via your instructions makes a new employee eligible for health insurance either 30,60, or 90 days from the start date of the hire. The insurance company doesn't care who pays the premium but it must be paid or the employee must sign a waiver that they do not want the insurance and are covered by another plan. All Health care coverage is regulated by the State or in this case Territory.

 
Posted : June 7, 2011 11:06 pm
(@marie1)
Posts: 3
New Member
Topic starter
 

Not an EDC or a small company, one of the larger resorts here on STX actually and in the accounting area. I think I'm getting the run around. Was never offered a waiver to sign declining insurance either. Would you know who I can contact? I don't want to go in and argue my case without any facts. Thanks for any help.....

 
Posted : June 8, 2011 6:05 pm
(@Lizard)
Posts: 1842
Noble Member
 

Consumer Complaints and Inquires
Division of Banking and Insurance
1131 King Street Suite 101
Christiansted, St Croix USVI
(340)773 6459

One thing I should have mentioned (You must be a full time employee) You must work over 24hours per week.

 
Posted : June 8, 2011 6:28 pm
(@marie1)
Posts: 3
New Member
Topic starter
 

Oh yes, full time.
Thanks so much for the info.

 
Posted : June 8, 2011 6:56 pm
(@ms411)
Posts: 3554
Famed Member
 

I would call the Department of Labor and see if I could get more info anonymously. I'm not sure this is a consumer issue, but because it deals with employers, I think it falls under Labor.

How do you know they even have an insurance plan? Are other employees covered? Did your employer give you some type of written document that spells out the company's benefits (vacation, sick leave, insurance, retirement, etc?)

One thing about living in the VI - never assume. Get it in writing. Ask even the basic questions. Are you even considered an "employee"?

If you work in accounting, surely there should be an insurance file somewhere! Sometimes it pays to be nosey!

 
Posted : June 9, 2011 10:58 pm
(@Linda_J)
Posts: 3919
Famed Member
 

Does your employer have an employee handbook? My handbook spells out very clearly how/when I receive health insurance. You say this is a large employer. Isn't there an HR office? I work for a large resort on STX and this just doesn't sound right.

Edited to add that I think all three big resorts on STX, Divi, Carambola and the Buccaneer are EDC companies.

 
Posted : June 10, 2011 8:58 am
(@Lizard)
Posts: 1842
Noble Member
 

V.I. Economic Development Authority, which oversees the EDC Program only can enforce what is in the EDC Certificate.
The Certificate holder has to offer employment that is consistent with both local and federal laws. Local and Federal Laws do not require all employers to provide health benefits, so EDC Companies are not required by law to offer such benefits. "BUT" each company must meet the requirements of its specific EDC agreement and as a general rule these agreements involve health benefits. So health benefits are not required by law, but are frequently required by the (SPECIFIC CERTIFICATE). Those curious about a specific company can contact the EDA to peruse the particular agreement.

Just a short note If a company Large or small has a group health plan it must offer it to all full time employees this is a requirement of the insurance company and regulated by the Banking and Insurance Authority. Department of Labor is not the agency for insurance matters.

 
Posted : June 10, 2011 9:38 pm
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