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Life Events

You may make changes to your health and/or dental insurance, outside of an open enrollment period, if you experience a life event AND you complete a change form within 30 days of the life event.

Obtain New Coverage

If you, or your dependents, have obtained new insurance coverage within the last 30 days, you can drop coverage. You must provide evidence of new coverage. Evidence of new insurance coverage must show the name(s) of the individuals who have new coverage AND the date the coverage began.  Complete the change form(s), attach proof of new coverage, and submit your form and evidence to the Benefits Department at the DSC before the end of the 30 day grace period.

Marriage

You may change your insurance coverage from single to family coverage by adding your new spouse (and his/her eligible dependents) to your plan. You may add your new spouse (and his/her eligible dependents) to your current family coverage. Coverage for your new dependent(s) becomes effective on the date of marriage. Please complete forms prior to your marriage date and return completed forms to the Benefits Department at the DSC.

New Child

Coverage becomes effective on the date of birth or adoption. Complete forms on or after (but not more that 30 days after) the date of birth or adoption and return completed forms to the Benefits Department at the DSC.

Involuntary Loss of Coverage

If you, or your dependents, have involuntarily lost coverage within the last 30 days, you can add eligible dependents to your plan (if you initially waived coverage, you can enroll in coverage). You must provide evidence of loss of coverage. Evidence may be a copy of the COBRA notice, HIPAA notice, or some other employer or insurer document that clearly shows the name(s) of the individuals who lost coverage AND the date the coverage ended.

Child Graduates from High School or College

This is not a life event. You can remove a child from your coverage if he/she has obtained their own coverage within the last 30 days (see Obtain New Coverage above), if the child turns 26, or during an open enrollment period.

Forms:

Dental Insurance Change form  (Use to add or remove dependents from your coverage)

Dental Insurance Enrollment form  (If previously waived coverage, use this form to enroll)

Health Insurance Change form   (Use to add or remove dependents from your coverage)

Health Partners Coordination form  (Use to coordinate insurance coverage)

Heath Insurance Enrollment form   (If previously waived coverage, use this form to enroll)

Life Insurance Beneficiary Change form