Benefit eligibility/entitlement, dollar maximums and frequency limitations are determined by your employer and are outlined in the master contract it has with GSC. The benefits are administered by GSC, according to the terms and conditions of the contract/policy.
Unless specifically noted in your benefit plan documentation, dependent children are covered to the end of the month in which their 21st birthday occurs. If coverage allows for overage dependents, proof that the dependent is enroled and in full-time attendance at an accredited college, university or educational institute must be provided to GSC on an annual basis. Dependent eligibility and provisions regarding overage dependents are determined by the contract between GSC and your employer or you, if you have individual coverage.
GSC keeps two types of addresses on file for you (because nothing in the world of benefits is easy):
Your ‘claim address’ – this is the mailing address that you supply to GSC on the claim form that you send in with each claim. And it is this address that we use when sending correspondence to you, like claim reimbursement or statements. Your current mailing address should be noted on every paper claim you submit to ensure that you receive correspondence in a timely manner. Also, please remember to include your GSC ID number on all correspondence.
Your ‘enrolment address’ – this is the address supplied to GSC by your plan sponsor (e.g., your employer) when you were initially enroled in the benefit plan. Some group plans do not allow us to use the claim address that you submit on your claim form, so we must always send correspondence to your enrolment address. Because the address originates from your plan sponsor’s data files, GSC Customer Service Representatives are not able to make this change for you. To change the enrolment address, you must advise your benefit administrator and they will advise GSC. (Note: Your benefit administrator is usually your HR department. But if you aren’t sure, then ask someone you trust.)
Yes. When leaving an active group plan, we offer individuals and their families the GSC Conversion Program – Prism Continuum® – for drug, dental, vision care, extended health care and preferred hospital accommodation coverage on an individual basis. Although we ask that you complete a medical questionnaire, coverage is guaranteed provided your application is received within 60 days of termination from the previous group coverage. Click here for more information.