Health Insurance as a UCC AmeriCorps Member
To avoid government penalties, you must carry health insurance that meets
minimum coverage requirements. The following option is offered to you as an
AmeriCorps member. You may also choose to be covered through an individual,
parent, or spouse’s plan at your own expense.
RBI Benefits is making individual and family health insurance accessible to you and allowing you
to utilize government health insurance subsidies by letting YOU choose the healthcare option
that meets your needs. If you qualify, government subsidies can significantly reduce your
health insurance premiums and you can continue in these plans after AmeriCorps.
OPTION DETAILS
It is YOUR RESPONSIBILITY to complete enrollment and pay for health insurance expenses.
Utah Conservation Corps will reimburse full year, full-time (1700hr) AmeriCorps members up to
$100 per month towards health insurance premiums for the plan of their choice (min. Bronze
level). You must enroll by phone as described below to receive the monthly reimbursement.
Less than full year, full-time members may utilize this option and RBI Benefit service but are not
eligible to receive reimbursements on their monthly premiums.
You have 60 days from your official start date as an AmeriCorps member to enroll.
Full year, full-time (1700hr) AmeriCorps members MUST complete the form on page 2 to opt in
or out of this opportunity.
RBI Benefits of Utah is an insurance agency equipped to walk you
through plan selection and enrollment as an AmeriCorps member.
They will help you qualify for the proper health insurance subsidy
and select the right health plan for you, plus additional coverage at
your own expense (i.e. dental, vision, critical illness insurance,
income protection insurance and accident insurance).
To Enroll:
Call:
Vanessa Vernon, RBI Benefits AmeriCorps Specialist
801-298-0399, Monday – Friday, 9:00am – 5:00pm
Be sure to identify yourself as a Utah Conservation Corps AmeriCorps
member when working with her on enrollment!
2016 AmeriCorps Health Insurance
Election Form
I acknowledge that Utah Conservation Corps has offered me health insurance coverage through
RBI Benefits for the duration of my AmeriCorps Term of Service. I understand that if I opt out of
the coverage offered by Utah Conservation Corps that I must carry health insurance of my
choice at my own expense. I understand that if I opt in for an insurance plan through RBI
Benefits that I am responsible for monthly premium payments and that Utah Conservation
Corps will reimburse me for premium expenses after government subsidies are applied up to
$100.00 per month.
I have chosen the following health care coverage option:
____
I will enroll in health insurance through RBI Benefits of Utah and will be reimbursed by
Utah Conservation Corps up to $100 per month while I am actively serving my
AmeriCorps term.
____
I am opting out of this opportunity and have insurance coverage through the following
source: ____________________________________
Member Name (printed): _____________________________________________
Member Signature: _____________________________________________
Date: _____________________