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Changes in Family Status

Under the Pace University group health plans, employees and their eligible dependents may enroll for coverage when they first become eligible for coverage and annually during Open Enrollment. When you enroll in benefits, your elections remain in effect to the end of the fiscal year and changes to your election are not permitted until the next Open Enrollment period. Open Enrollment is typically conducted in late May early June for an effective date of July 1st. However, if you experience a change in family status during the fiscal year, you may be eligible to make a mid-year change to your benefits that corresponds with the life-changing event. See the Family Status Changes Chart below for a list of qualifying events.


Enrollment and Effective Dates

To change your coverage when a qualifying life event occurs, you must notify the University Benefits office within 31 days of the qualifying event for the anticipated change to be accepted and approved by the university. Once the 31 day-timeframe expires, you are only able to make a change during the next annual Open Enrollment period. Changes made during Open Enrollment are effective as of July 1st.

In most cases, the effective date of the change is the 1st of the month following the actual event date. However, in some situations (birth of a child), the effective date is the same date the actual life event occurred.


Family Status Changes

Change in Employee's Marital Status

Marriage/Domestic Partnership

Healthcare Plan Coverage Options:
Can enroll spouse/domestic partner (and any eligible affected children) in the plan
Can drop coverage and join your spouse's employer health plan

Plan Changes Options:
May change medical/dental plan

Required Documentation:

Marriage:
Change in Family Status (PDF)
Benefits Enrollment Form
Marriage License

Domestic Partner:
Notarized Statement of Domestic Partnership (PDF)
Supporting Documentation (utility bills,lease, etc - other proof of financial interdependence)
Change in Family Status (PDF)
Benefits Enrollment Form


Divorce, Legal Separation, Annulment, Termination Domestic Partnership

Healthcare Plan Coverage Options:
Add coverage, including children (if lost coverage under spouse's/domestic partner's plan).
Eliminate coverage for spouse/domestic partner

Plan Changes Options:
May change medical/dental plan

Required Documentation:
Change in Family Status (PDF)
Letter of Proof Coverage Terminated (Copy of Legal Documentation) Notarized statement from employee stating that domestic partnership has ended.
Benefits Enrollment Form


Death of Spouse

Healthcare Plan Coverage Options:
Add coverage, including children (if lost under spouse's plan).
Eliminate coverage for spouse

Plan Changes Options:
TBD

Required Documentation:
Certified Death Certificate
Change in Family Status (PDF)
Benefits Enrollment Form


Increase in Number of Dependents

Birth, Adoption or Placement for Adoption

Healthcare Plan Coverage Options:
Add new child only.
Add spouse (if applicable).

Plan Changes Options:
May change medical/dental plan

Required Documentation:
Birth Certificate - as soon as available
Copy of Social Security Card - as soon as available
Adoption/Placement - Copy of guardianship letter from attorney/adoption agency
Marriage License (if adding spouse)
Change in Family Status (PDF)
Benefits Enrollment Form

Decrease in Number of Dependents

Reaching Limiting Age

Healthcare Plan Coverage Options:
Eliminate child's coverage

Plan Changes Options:
TBD

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form


Loss of Student Status

Healthcare Plan Coverage Options:
Eliminate child's coverage

Plan Changes Options:
TBD

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form


Death of Dependent Child

Healthcare Plan Coverage Options:
Eliminate child's coverage

Plan Changes Options:
TBD

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form
Death Certificate


Change in Employement (Spouse or Dependent)

Commence New Job - Gain Medical Plan Coverage Eligibility with Spouse's/Domestic Partner's new employer

Healthcare Plan Coverage Options:
Drop coverage for self and family to enroll in new employer's plan

Plan Changes Options:
TBD

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form
Proof of Coverage through New Employer
 


Spouse/Domestic Partner Terminates Employment - Loss of Medical Plan Coverage with Spouse's Former Employer

Healthcare Plan Coverage Options:
Elect coverage
Add dependents to plan

Plan Changes Options:
Select medical/dental plan

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form
Notarized Statement of Domestic Partnership (PDF)


Retire - May be eligible for coverage under "Rule of 75" ~ contact University Benefits office for review of your eligibility Ext. 22828.

Healthcare Plan Coverage Options:
Drop or add spousal coverage based on eligibility

Plan Changes Options:
Select medical plan

Required Documentation:
Per instructions from Benefits Office


Other Plan Annual Enrollment (Spouse or Dependent)

Annual Open Enrollment - Eligible for Other Coverage through Spouse/Domestic Partner on Different Plan Year

Healthcare Plan Coverage Options:
Drop coverage for self and family members thereby enrolling in dependent's coverage.
Elect coverage/add dependents to employee's plan who were previously covered under another plan

Plan Changes Options:
Select medical plan

Required Documentation:
Change in Family Status (PDF)
Benefits Enrollment Form
Proof of Coverage Letter from spouse/domestic partner's employer


Legal Proceedings

Court Order, Judgement or Decree

Healthcare Plan Coverage Options:
Adhere to Court Orde

Plan Changes Options:
Based on Court Order

Required Documentation:
Change in Family Status (PDF)
Letter of Proof Coverage Terminated (Copy of Legal Documentation)
Benefits Enrollment Form