Am I Eligible and How Do I Enroll? © 2026 Surest. All Rights Reserved . 6 employee and/or his/her eligible dependents are determined to be eligible for coverage under such state plans. Coverage will be effective on the first day of the first calendar month beginning after the date the Plan Administrator receives the request for special enrollment due to eligibility for Medicaid or CHIP payment assistance, provided the Plan Administrator receives the application for coverage as required. Unless otherwise noted above, if you wish to change your elections, you must contact the Plan Administrator within 31 days of the change in family status. Otherwise, you will need to wait until the next Open Enrollment.