Appeal Submission

Missed Enrollment Deadline

If you are not enrolled in medical coverage and you miss the deadline for enrollment but you still want medical coverage, you must submit an appeal with Texas Health Benefits Support within 60 days of your missed deadline. Within the 60-day period, you may choose a medical plan option and pay the premium on an after-tax basis. You may not enroll in any other benefits until the next open enrollment period unless you have a qualified status change. If you missed the enrollment deadline at open enrollment, your effective date for the after-tax plan will be January 1. If you missed the enrollment deadline for any other reason, your after-tax plan will be effective the first day of the following pay period after complete forms and documentation are received, if you have completed one month of service.

Missed Dependent Verification Deadline 

If you miss the deadline for dependent verification and you still want medical coverage for your dependents, you must submit an appeal with Texas Health Benefits Support prior to January 1 (if for open enrollment) or within 60 days of your missed deadline. You may choose a medical plan option and pay the premiums on an after-tax basis. You may not enroll dependents in any other benefits until the next open enrollment period unless you have a qualified status change. Your after-tax plan will be effective the first day of the following pay period after complete forms and documentation are received, if you have completed one month of service.

To submit an Appeal to the Texas Health Benefits Department, complete the fields below. If you need to submit supporting documentation, please email the documents to THRBenefitsSupport@texashealth.org and mention the appeal in your subject line. 

Employee ID# *