Wyvill v. State Employees Group Benefits Program

SAVOIE, Judge.

This case involves the issue of whether a state employee (plaintiff) who resigns from her employment with the state, whereupon her family medical coverage with State Employees Group Benefits Program (State Group) terminates, and who then returns to state employment and again enrolls for family medical coverage with State Group, is entitled, under the New Enrollment/Previous Contract provision of the Plan Document of Benefits, to the same benefits she had received prior to her termination.1

The New Enrollment/Previous Contract provision, under which plaintiff falls, reads as…