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S M T W T F S

REASONS FOR CHANGE OF STATUS 


The following events are changes in status…:

(i) Legal marital status. Events that change an employee's legal marital status, including the following: marriage; death of spouse; divorce; legal separation; and annulment.

(ii) Number of dependents. Events that change an employee's number of dependents, including the following: birth; death; adoption; and placement for adoption.

(iii) Employment status. Any of the following events that change the employment status of the employee, the employee's spouse, or the employee's dependent: a termination or commencement of employment; a strike or lockout; a commencement of or return from an unpaid leave of absence; and a change in worksite. In addition, if the eligibility conditions of the cafeteria plan or other employee benefit plan of the employer of the employee, spouse, or dependent depend on the employment status of that individual and there is a change in that individual's employment status with the consequence that the individual becomes (or ceases to be) eligible under the plan, then that change constitutes a change in employment under this paragraph (c) (e.g., if a plan only applies to salaried employees and an employee switches from salaried to hourly-paid with the consequence that the employee ceases to be eligible for the plan, then that change constitutes a change in employment status under this paragraph (c)(2)(iii)).

(iv) Dependent satisfies or ceases to satisfy eligibility requirements. Events that cause an employee's dependent to satisfy or cease to satisfy eligibility requirements for coverage on account of attainment of age, student status, or any similar circumstance.

(v) Residence. A change in the place of residence of the employee, spouse, or dependent.

The following are examples of status changes which allow you to make a change in your enrollment election:

  • Marriage (yours or a covered dependent)
  • Death : Spouse or Dependent Child
  • Birth of child
  • Loss of eligibility of dependent child (due to age, marriage or loss of full-time student status)
  • Spouse’s Employment: Begins or Ends
  • Change from full-time to part-time employment (or vice versa) of Self, Spouse or Dependent Child
  • Divorce
  • Legal Separation
  • Adoption (or placement for adoption) of child
  • Spouse's unpaid leave: Begins or Ends
  • Your unpaid leave:  Begins or Ends
  • Loss of other coverage (which was the reason you or your dependent chose not to be covered by this plan) due to: loss of eligibility, exhaustion of COBRA Continuation Coverage, a significant increase in your cost or a significant reduction in benefits or the employer stopped making contributions.
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