Status Change Information

An event that qualifies as a change in status enables an employee to change his or her selection of benefits during the plan year. When a status change occurs, eligible participants must complete the required form and return it and supporting documentation to Benefits Administration within 31 days of the event. Qualified Status Changes are as follows:

• Marriage
• Attainment of Domestic Partnership
• Divorce
• Birth or Adoption of a Dependent
• Death of a Dependent
• Change in Employment Status of a Spouse/Domestic Partner
• Dependent Child Reaching Ineligible Age/Student Status
• Dependent Legally Entering the United States

Download change forms

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