To apply for coverage, you must complete an enrollment application and may be required to submit other necessar-y documentation.
If you do not complete the enrollment application in that time period and provide any other necessary documentation upon request, you and your dependents will not be allowed to enroll until your employer’s next Open Enrollment Period. These changes must be submitted to Hometown Health no later than 60 days from the effective date.
Employees have 30 days from the effective date to submit/sign their enrollment elections including any dependents.
Terminations must be submitted no later than 60 days after the event. Hometown Health will only refund premiums up to 60 days.
Enrollment changes can be submitted via enrollment form, LINK or file feed.
Enrollment Department: firstname.lastname@example.org or fax 775-982-3749. You can also call them at 775-982-3118