Enrollment.
Ann Arbor City Code § 1:719
in effect1:719. - Enrollment.
(1) The City shall give each Participant timely written notice of his or her eligibility and his or her right to enroll for coverage under the Plan. A Participant or Retiree may enroll for coverage on a form or forms provided by and filed with the City. In connection with his or her enrollment for coverage, the Participant or Retiree shall furnish all pertinent information requested by the City, Plan Administrator and/or the Insurance Carrier, including but not limited to the names, relationships and birth dates of the participant's or Retiree's Spouse and eligible Dependents, and any pertinent Medicare Part A and B information of any Participant, Retiree, Spouse and/or eligible Dependent, and the Plan Administrator or the Insurance Carrier may rely upon all such forms and information furnished.
(2) Spouse and Dependents shall be eligible for coverage as provided in the Plan and/or insurance agreement and in section 1:717 above. Spouse and Dependents shall be enrolled for coverage under the Plan by the Participant or Retiree at the time the Participant or Retiree enrolls for coverage under the Plan, during an open enrollment period, or as provided for in subsection (3).
(3) Participants or Retirees must report major life event changes to the City within 30 days of the event in order to add or delete persons from their benefit Plans (health and life insurance). Major life event changes may impact eligibility for benefits. Notification beyond 30 days of the event will delay any additions of persons to benefits until the next open enrollment period. If failure to report the event within 30 days results in additional benefit costs by the Plan and Trust due to non-termination of benefits, the Participant or Retiree may be held responsible for such costs.
(Ord. No. 41-98, § 1, 10-19-98)
Source: City of Ann Arbor, Michigan, Code (Municode Library, library.municode.com)URL: https://library.municode.com/mi/ann_arbor/codes/code_of_ordinances?nodeId=TITIAD_CH21REHECABEPLTR_PTBHECABEPL_1_719ENFetched: 11/8/2026