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    Qualifying events (Life or Job Status Changes) provide a 30-day eligibility period for current employees to add or drop dependents and make other eligible changes to coverage. Life status changes must be accompanied by the appropriate documentation (see chart below). A change in job status to a benefits eligible position also provides an employee with a 30 day window to enroll for benefit coverage. Should a qualifying event occur (Life or Job Status Change), you must report your life event in Employee Self Service, within 30 days and provide the documentation as listed below within that 30 day period. Click here for instructions on submitting your life event in Employee Self Service. 

     

    Qualifying Event

    Required Documentation

    Marriage

    Marriage certificate

    Divorce

    Divorce decree

    Legal separation

    Court documentation

    The birth of a child

    or children

    Birth certificate(s)

    Adoption or placement for adoption of a child

    Adoption award letter

    Your child becomes

    ineligible for coverage

    Complete the proper form to  terminate dependent coverage (available from the Benefits Department)

    A court issues a Qualified Medical Child Support Order (QMCSO)

    requiring the plan to provide  medical coverage for your dependent child

    Copy of support order

    Loss of coverage (due to a change in your spouse’s employment or your spouse’s eligibility for benefits)

    Loss of coverage letter from prior insurance provider or prior employer (on their letterhead)

    Dependent child gains coverage from an employer

    Letter of creditable coverage from an employer