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Family Status Change
Family Status Change FAQ's
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What is considered a family status change?
"Family Status Change" is the Internal Revenue Service rule that allows you to adjust your benefit selections when unforeseen circumstances occurred between open enrollments. Only specific events qualify as a change in family status.
Qualifying events include:
• Marriage or Divorce
• Death of spouse/child
• Birth, adoption or gain legal guardianship of a child
• Spouse changes employment resulting in the loss or gain of employer provided coverage
• You, your spouse or child involuntarily loses other health insurance coverage
• Eligible/ineligible for Medicare/Medicaid
• Change in eligibility status of a dependent
• Reduction in hours of employment – if the reduction did not allow enough pay to deduct the benefits currently enrolled
• Judgment/decree/order for coverage of children -
Is there a deadline to notify the Benefits office?
If a qualifying event occurs, you must contact the benefits office within 30 days from the date the family status change occurred, and the family change must relate to the benefit change you are requesting. As an example, adding or dropping medical plan dependents is common in the case of birth, marriage, or divorce.
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Are there forms I need to complete or do I need a document to support my status change?
You must complete the appropriate enrollment forms for the plan(s) you want to sign up for and/or change. We will also need written documentation of the family status change. For example:
- Loss of Insurance Coverage - we will need a "Certificate of Creditable Coverage" from the previous health insurance carrier.
- Spouse gains employment - we will need a written letter on company letterhead indicating the hire date and the effective date of your insurance.
- Divorce - we will need a copy of the divorce decree.
- Marriage - we will need a copy of the marriage certificate.
- Legal Adoption - we will need a copy of the court paperwork.
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What forms do I need to submit?
First, you need the current Family Status Change Form, available for download on this page.
Don't forget to include your supporting documentation confirming you have a qualifying event change.