Guidelines
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      Guidelines I.E: Changing Programs

      Circumstances for Changing AUA Level or Program

           1. Members are allowed to change their Annual Unshared Amount (AUA) level or program within 30 days of the following circumstances, with the effective date being the date of the event:

      • Membership Anniversary

      • Change in Marital Status

      • Change in Child/Dependents

      • Birth/Adoption

      • Age Out: Changes can be made when a dependent ages out of eligibility.

      • Loss of Spouse

      • Loss of Employment

      1. When switching from Essential to Enhanced OR when switching from a higher AUA to a lower AUA, the 12-month waiting period for the conditions and treatments listed in sections 3.iii, iv resets.

      2. Switching Fee and Resetting AUA

      Switching Fee: Changing your program or AUA level requires a switching fee of $100. You can choose any future month for your switch to occur and the $100 switching fee will be applied within one to two months after the switch is effective.


      Resetting AUA: Changing your program or AUA level will reset the AUA for the year.


           4. Adding or Removing Members


      Eligibility: You can add or remove members from your membership at any time.

      Share Amount Adjustment: If the addition or removal of a member impacts your share amount, the change will be reflected in your next Share Notice.