Life Event Status Change
Employee Certain qualifying life events allow you to make a change to your benefits outside of the open enrollment period. A change in family status may create the need for a different level of coverage, e.g., Individual, Parent / Child, Employee/Spouse, Parent/Children, or Family, and may affect the amount of your payroll deduction for healthcare. Your change request must be made through the Benelogic online enrollment system no later than 30 days following the effective date of one of these qualifying events. You must send documentation of the qualifying event to the Benefits Office within the same time period in order for the change request to be authorized. Below are examples of qualifying events for status changes:
| Event | Verification Examples |
| Marriage, divorce or annulment | Marriage certificate, divorce decree |
| Birth, adoption, or death of a dependent | Birth record, crib card, baby's footprints from the hospital, death certificate |
| Change in employee or spouse's employment status (termination, layoff, start a new job) | Certificate of Coverage or letter on employer's letterhead showing the effective date of the change, coverage, and employee/subscriber name(s) |
For more detailed information on Status Changes due to Qualifying Events, see page 4 of our Benefits Reference Guide. Changes in benefit elections resulting from a change in family status must be consistent with the family status change.
TO REQUEST A STATUS CHANGE DUE TO A QUALIFYING LIFE EVENT, FOLLOW THESE STEPS:
- Log on to Benelogic Online Enrollment Employee Portal.
- Read carefully the instructions on each screen and select your change(s).
- View and print a confirmation statement of your change request for your records.
- Upload the appropriate supporting documentation to your Benelogic file cabinet. All changes other than the birth of a child will be effective the first of the month following the event date.
OTHER DOCUMENTS YOU MAY NEED DUE TO A STATUS CHANGE:
Print, complete, and send the completed form(s) to the Human Resources Office.