A qualifying event is a change in an employee's or dependent's status that permits a change to be made in pretax health insurance elections outside of the annual open enrollment period. The change in status must result in a gain or loss of coverage or coverage options. The election change must be consistent with the change in status.
Qualifying events include:
Qualification for special enrollment rights - refer to Special Enrollment Rights in the Benefits Handbook for more information.
Change in legal marital status - you are married, divorced, legally separated; your marriage is annulled; you add a domestic partner or end a domestic partner relationship.
Change in number of dependnets - you or your spouse gives birth or adopts a child; a child is placed with you for adoption; your child or spouse or domestic partner dies.
Change in your or your spouse's employment status - you leave the RF or begin work for the RF; your spouse leaves his or her employer or begins a new job.
Change in dependent eligibility - your child becomes eligibile or loses eligibility as defined by the plan.
Change in health coverage - the cost or coverage of benefits available to you or your spouse or domestic partner through the RF or another employer changes significantly.
Change in work status - you or your dependent change jobs, or begin or end a job; you or your depedependent increase or decrease work hours, or switch from part-time to full-time; you or your dependent begin or return from an unpaid leave of absence that results in acquiring or losing eligibility for health insurance
Change of your worksite - or that of your spouse or domestic partner, resulting in a change of benefits offered
Change due to a relocation - of your residence to outside the plan's service area
Qualified medical child support order - the plan receives a court order requiring you to provide coverage for a dependent child.
Change in qualification for Medicaid or S-CHIP - you, your spouse or dependent gain or lose qualification for the State Children's Helath Insurance Program 9S-CHIP) or Medicaid (Refer to Special Enrollment Rights in the Benefits Handbook for more information).