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4

Life Changing Events

You can make changes to your medical, dental, vision, Flexible Spending Account and Health Savings

Account elections during the year only if you have an IRS approved “qualified status change.” You must

make a change within 31 days of the event.

You can change your benefits within 31 days if you experience one of the following life changes:

Marriage, divorce, or legal separation

Birth or adoption of child

Death of a covered dependent

Job status change (Full-time to Part-time or vice versa)

Your spouse becomes eligible for medical benefits through new employment

Your spouse becomes unemployed and loses benefit coverage

A significant change in your spouse’s health coverage attributable to your spouse’s

employment

Ineligibility of your covered dependents due to:

Marriage

Change in dependent status

Attainment of non-qualifying age (medical, dental, vision, and life insurance coverage)