Initial Employer Application
(Applies only to the first plan year that an employer offers coverage through DC Health Link)
| EMPLOYER APPLICATION | EMPLOYEE OPEN ENROLLMENT PERIOD | 1st PREMUIM PAYMENT | ||||
|---|---|---|---|---|---|---|
| Coverage Effective Date | Earliest Date to Start | Must be Completed by | Earliest Start Date | Must be Started By | End of Open Enrollment | Must be received by |
| Jan 1, 2017 | Oct 1, 2016 | Dec 1, 2016 | Nov 1, 2016 | Dec 1, 2016 | Dec 10, 2016 | Dec 13, 2016 |
| Feb 1, 2017 | Nov 1, 2016 | Jan 1, 2017 | Dec 1, 2016 | Jan 1, 2017 | Jan 10, 2017 | Jan 12, 2017 |
| Mar 1, 2017 | Dec 1, 2016 | Feb 1, 2017 | Jan 1, 2017 | Feb 1, 2017 | Feb 10, 2017 | Feb 14, 2017 |
| Apr 1, 2017 | Jan 1, 2017 | Mar 1, 2017 | Feb 1, 2017 | Mar 1, 2017 | Mar 10, 2017 | Mar 14, 2017 |
| May 1, 2017 | Feb 1, 2017 | Apr 1, 2017 | Mar 1, 2017 | Apr 1, 2017 | Apr 10, 2017 | Apr 12, 2017 |
| Jun 1, 2017 | Mar 1, 2017 | May 1, 2017 | Apr 1, 2017 | May 1, 2017 | May 10, 2017 | May 12, 2017 |
| Jul 1, 2017 | Apr 1, 2017 | Jun 1, 2017 | May 1, 2017 | Jun 1, 2017 | Jun 10, 2017 | Jun 13, 2017 |
| Aug 1, 2017 | May 1, 2017 | Jul 1, 2017 | Jun 1, 2017 | Jul 1, 2017 | Jul 10, 2017 | Jul 12, 2017 |
| Sep 1, 2017 | Jun 1, 2017 | Aug 1, 2017 | Jul 1, 2017 | Aug 1, 2017 | Aug 10, 2017 | Aug 14, 2017 |
| Oct 1, 2017 | Jul 1, 2017 | Sep 1, 2017 | Aug 1, 2017 | Sep 1, 2017 | Sep 10, 2017 | Sep 12, 2017 |
| Nov 1, 2017 | Aug 1, 2017 | Oct 1, 2017 | Sep 1, 2017 | Oct 1, 2017 | Oct 10, 2017 | Oct 12, 2017 |
| Dec 1, 2017 | Sep 1, 2017 | Nov 1, 2017 | Oct 1, 2017 | Nov 1, 2017 | Nov 10, 2017 | Nov 14, 2017 |
Renewal Employer Application
(Applies after completion of the first plan year of offering coverage through DC Health Link)
| EMPLOYER APPLICATION | EMPLOYEE OPEN ENROLLMENT PERIOD | ||||
|---|---|---|---|---|---|
| Coverage Effective Date | Earliest Date to Start | Must be Completed by | Earliest Start Date | Must be Started By | End of Open Enrollment |
| Jan 1, 2017 | Oct 1, 2016 | Dec 5, 2016 | Nov 1, 2016 | Dec 5, 2016 | Dec 13, 2016 |
| Feb 1, 2017 | Nov 1, 2016 | Jan 5, 2017 | Dec 1, 2016 | Jan 5, 2017 | Jan 13, 2017 |
| Mar 1, 2017 | Dec 1, 2016 | Feb 5, 2017 | Jan 1, 2017 | Feb 5, 2017 | Feb 13, 2017 |
| Apr 1, 2017 | Jan 1, 2017 | Mar 5, 2017 | Feb 1, 2017 | Mar 5, 2017 | Mar 13, 2017 |
| May 1, 2017 | Feb 1, 2017 | Apr 5, 2017 | Mar 1, 2017 | Apr 5, 2017 | Apr 13, 2017 |
| Jun 1, 2017 | Mar 1, 2017 | May 5, 2017 | Apr 1, 2017 | May 5, 2017 | May 13, 2017 |
| Jul 1, 2017 | Apr 1, 2017 | Jun 5, 2017 | May 1, 2017 | Jun 5, 2017 | Jun 13, 2017 |
| Aug 1, 2017 | May 1, 2017 | Jul 5, 2017 | Jun 1, 2017 | Jul 5, 2017 | Jul 13, 2017 |
| Sep 1, 2017 | Jun 1, 2017 | Aug 5, 2017 | Jul 1, 2017 | Aug 5, 2017 | Aug 13, 2017 |
| Oct 1, 2017 | Jul 1, 2017 | Sep 5, 2017 | Aug 1, 2017 | Sep 5, 2017 | Sep 13, 2017 |
| Nov 1, 2017 | Aug 1, 2017 | Oct 5, 2017 | Sep 1, 2017 | Oct 5, 2017 | Oct 13, 2017 |
| Dec 1, 2017 | Sep 1, 2017 | Nov 5, 2017 | Oct 1, 2017 | Nov 5, 2017 | Nov 13, 2017 |