Employees have thirty (30) days following the date of the qualifying life event in which to make any benefit changes, such as adding or removing a dependent from coverage. Supporting documentation for these events is required.
- Marriage
- Spouse must also meet the LDA Certification requirements
- Legally Domiciled Adult
- Must meet the LDA Certification requirements
- New child—birth, adoption or legal guardianship
- Birth certificate or certificate of birth required
Signed legal adoption documents required
Signed legal guardianship documents required - Death of dependent/LDA
- Death certificate required
- Loss of Eligibility
-
- Dependent Child
- Dependents aging out at age 26 need not submit any documentation
Gain of other coverage required when under age 26 - LDA
- LDA Decertification required
- Gain/Loss of other coverage
- Proof of the gain or loss of coverage is required and must include employee and covered dependents names, types of coverage, and effective date of the gain or loss.
- Change of employment status
- Example: An employee moves from a temporary or seasonal position to a regular full-time position.
- Benefit cost change
- A significant change in benefit cost of the employee’s share.
Each case will be individually reviewed. - Open Enrollment
- Occurs in October of each year
All benefit eligible employees
Changes effective January 1 of the following calendar year
