Eligibility
If you are an active employee who is enrolled in the Health Account Plan (HAP), you are eligible to participate in the Health Account. If you terminate your HAP coverage as an active employee (for example, you leave the Company or drop coverage while still actively employed), you will no longer be eligible for the Health Account and will forfeit any balance remaining in the account, unless one of the following occur:
  • You subsequently re-enroll in the HAP in the same calendar year, in which case your Health Account balance, if any, will be reinstated.
  • You continue your HAP coverage through COBRA,
  • You retire and are eligible for PG&E-sponsored retiree medical coverage (whether or not you actually enroll in a retiree medical plan).
  • You go on Long-Term Disability and remained enrolled in a PG&E-sponsored medical plan.
When you enroll in HAP coverage through COBRA, you will keep any unused Health Account credit balance, and you also will be eligible to receive the annual Health Account credit allocation at the beginning of the plan year. However, you will not be eligible to earn incentive credits by taking the annual health screening and/or participating in the tobacco-free program. To continue in the HAP after you terminate employment, see "Continuing Coverage Under COBRA" and "Conversion to an Individual Medical Policy" in the Health Care Participation section.
If you retire and are eligible for PG&E's retiree medical coverage, you will keep any unused Health Account balance for your future use, even if you waive coverage or enroll in medical coverage elsewhere. However, you will not be eligible for the annual Health Account credit allocation at the beginning of the plan year, nor will you be able to earn incentive credits by taking the annual health screening and/or participating in the tobacco-free program.
If you go on Long-Term Disability, you will no longer be eligible for HAP coverage effective the first of the month following your LTD effective date. Therefore, you will need to select a different PG&E-sponsored medical plan. In 2014, you will keep any unused credits in your Health Account as long as you enroll in a PG&E-sponsored medical plan. However, you will not be eligible for the annual Health Account credit allocation at the beginning of the each plan year, nor will you be able to earn incentive credits by taking the annual health screening and/or participating in the tobacco-free program.
For more information, please see "If You Are on Long-Term Disability."