Qualified Status Change
A qualifying life event is a change in your personal circumstances that allow you to make changes in your benefits outside of the annual Open Enrollment period.
Employees that have experienced a life event that qualifies for a change in status are able to opt into or out of health, dental and/or vision coverage if the request is made within 31 days of the event. Any mid-year election change must be consistent with the qualifying change in status the participant has experienced.
Qualifying changes in status include:
- An event that changes the employee’s legal marital status.
- An event that changes the employee’s number of dependents including:
- Birth
- Death
- Adoption
- Placement for Adoption
- An event that changes the employment status of the employee, their spouse, or their dependent, including:
- A termination of employment
- A return from an unpaid leave of absence
- A change in the individual’s employment status that changes their eligibility for insurance
- An event that causes an employee’s dependent to meet or fail to meet eligibility requirements for coverage based on age, student status, or any similar circumstance.
- An employee who is a new hire or is newly eligible for benefits.
