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What is a Qualifying Event?

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What is a Qualifying Event?

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In general, a qualifying event is an event that allows insurance coverage or an extension of insurance coverage for an employee, spouse or dependent. Such events may be marriage, birth/adoption/placement, loss of group health plan coverage, divorce/legal separation, death of the covered employee, loss of dependent’s eligibility for coverage, etc. Changes due to a qualifying event must be made within 31 days of the date of the qualifying event by contacting a benefits administrator in the Office of Human Resources at ext. 2273.

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A qualifying event is an event that occurs outside the open enrollment period that would allow an employee to make a change in coverage.

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A qualifying event is defined as marriage, divorce, birth or adoption of a child, death, or loss of ‘dependent’ status of a child or involuntary loss of helath insurance coverage. Under these circumstances, you have the right to enroll or disenroll within 30 days of the event depending upon the event.

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A qualifying event is an event that allows an employee to enroll in your group health plan or make changes to it outside of the annual open enrollment period. Examples of this would be the birth or adoption of a child, marriage, death, loss of coverage due to divorce, spouse’s loss of coverage, increasing hours from part-time to full–time, etc.

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A qualifying event is a change in your or your dependent’s personal lives which may allow you to add, change or terminate some of your benefit elections. If you have experienced a qualifying event, you must notify us within thirty-one (31) days of the qualifying event date in order to make a change to your benefits. If the thirty-one (31) days have passed, you must wait until the next open enrollment period to make the change.

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