Life Event Timing
To change tax-sheltered medical, dental or vision premiums after a qualifying event, the enrollment change and supporting documentation must be submitted within this many days.
What is 30 days?
Employees may select different coverage levels for medical, dental and vision, but must do this on any plan they want dependents to join.
What is cover themselves on that plan?
This document is required to add coverage for a spouse and eligible dependents after marriage.
What is a marriage certificate?
Employees must work an average of this many hours per week to be eligible to enroll in benefits.
What is 30 hours per week?
Termination guidelines for overage dependents are based on this location tied to the employee.
What is the employee’s home state?
When an employee experiences a loss of Medicaid coverage, the required documentation must be submitted within this many days.
What is 60 days?
The department that must approve mid-year changes to coverage selections.
What is the PEO Health & Benefits department?
This document is required for adoption or placement for adoption.
What is a court order for adoption or placement for adoption?
A domestic partner life event can apply only when the employee is already in this status under the plan.
What is enrolled in the plan?
For MetLife Child Life Insurance, eligible dependent children must be unmarried and fall within this age range.
What is birth to age 26?
For marriage, birth, adoption or placement for adoption, an employee must request special enrollment within this number of days after the event.
What is 30 days?
When an address change makes the network no longer available, an employee may remove coverage or change plan, but cannot change this.
What is the coverage level?
This verification is required for gain or loss of medical, dental or vision group coverage.
What is carrier verification of new group coverage commencement or termination?
This family member may be eligible under certain circumstances, but employees are directed to contact the PEO Health & Benefits team for more information.
Who are grandchildren?
For Blue Cross Blue Shield TX, dependents reaching the carrier age limit terminate on this date.
What is the last day of the month?
Mid-year benefit changes must always align with, or be this, with the qualifying event.
What is consistent with the qualifying event?
A significant coverage reduction or cost increase is defined in the chart as more than this monthly employee cost change.
What is greater than 10%?
This document may be required when a dependent becomes ineligible due to marriage.
What is a marriage certificate?
This form must be submitted with initial enrollment or within thirty days of a corresponding life event to declare a domestic partner relationship.
What is the Domestic Partner Setup Form?
This carrier allows coverage for students up to age 31, with administration handled directly through the carrier.
What is Horizon?
If an eligible employee does not participate when first eligible, this is generally the next opportunity to enroll unless a qualifying change in status occurs.
What is the following January or next annual enrollment?
When a court order or QMCSO requires coverage for a dependent child, the changes must be consistent with the order and are described as this.
What is non-negotiable?
This documentation is required when an employee commences or returns from a non-FMLA leave of absence.
What is employer documentation indicating the employee has commenced or returned from leave?
Expenses for domestic partners and domestic partner children are not eligible for reimbursement under these accounts.
What are FSA and Dependent Care Accounts?
For Aetna Metro Plans in NY, NJ and CT, the non-student age limit is 26, the student overage limit is 29, and termination of the plan occurs at.
What is the last day of the month?