Qualifying Life Events
You may change your benefit elections during the annual Open Enrollment period or during the year if you experience a Qualifying Life Event. A Life Event change permits employees to make certain mid-year benefit changes consistent with the qualifying event.
You must consult your Benefits Administrator within 31 days from the date of the event to make changes. This includes events that occur during the summer or holiday breaks while you may not be at work. Qualifying Life Events include, but are not limited to:
- Changes in employee’s marital status; marriage, divorce, legal separation, annulment, death of spouse.
- Changes in dependent status; birth, adoption, placement for adoption, death or dependent eligibility due to age, marriage or student status.
- Changes in employment status or work schedule that affect benefits eligibility; employee, spouse, dependent.
- Changes in residence that affect available plan options; employee, spouse, dependent.
Please click on the event below for further information on a Life Event and to see what documentation is required to make changes.
Marriage
Within 31 days of the date of marriage, you may add your spouse to your existing medical, dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You may also elect to change your medical FSA amount, and elect spouse coverage under our various life and long term care plans. You will need to complete the appropriate forms and provide a copy of your certified marriage certificate. You should also review your beneficiary designations for life insurance and retirement plans.
Divorce
Within 31 days of the date the divorce decree is signed, you may elect any coverage you are losing under your spouse’s plan. If you currently cover your spouse, you must drop his or her coverage for medical, dental, vision, and group term life, although you may continue to cover your children. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a copy of the first and last pages of your certified divorce decree. You should also review your beneficiary designations for life insurance and retirement plans. Prior to the final decree, you may not drop a spouse except during Open Enrollment.
A change in residence to an area not covered by your current option
Within 31 days of the move, you may change your Option only to a plan that covers the area to which you moved.
Change in a spouse's employer causing gain or loss of coverage
Within 31 days of the separation or the new hire date, you may elect medical, dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
If your spouse's employment status changes causing a gain or loss of eligibility for coverage
Within 31 days of the date of the status change (such as moving between full-time and part-time), you may elect medical, dental, or vision coverage for yourself and your spouse and children, or drop your coverage to go on your spouse’s plan. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
Becoming Eligible (or Losing Eligibility) for Medicare, Medicaid, or CHIP
Within 31 days of the eligibility change, you may add or drop medical, dental, or vision coverage for yourself or the applicable family member. In addition, your plan may permit you to add or drop coverage if you gain or lose eligibility for a Medicaid or CHIP premium assistance subsidy. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a copy of the notification letter from Medicare, or Medicaid or CHIP.
Death of spouse or covered dependent
Within 31 days of the death, you may elect any coverage you are losing under your spouse’s plan. If you currently cover your deceased dependent, you must drop his or her coverage for medical, dental, or vision although you may continue to cover the rest of your family. You may also elect to change your medical and dependent care FSA amounts. Again, you should review your beneficiary designations for life insurance and retirement plans. You will need to complete the appropriate forms and provide a copy of the certified death certificate.
Birth or adoption of a child, or having a child placed in your custody or guardianship through the court
Within 31 days of the birth, adoption (official placement or final decree), or court order, you may add the child to your existing medical, dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You may elect to change your medical FSA amount, and start or change a dependent care FSA. You may also elect child life insurance. You will need to complete the appropriate forms and provide a copy of the certified birth certificate, adoption placement order or decree, or court order.
If your spouse changes coverage during his/her employer's open enrollment period
Within 31 days of the Open Enrollment, you may elect medical, dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
If a qualified medical child support order is established for a dependent enrollment in Marketplace coverage
Within 31 days after enrolling in Marketplace coverage, you may drop medical coverage. You may not drop or change dental, vision or medical FSA coverage.