Click on a qualifying event below to see how it affects your benefits. Your change request must be submitted within 30 days of the event. Medicare or Medicaid you have 60 days to request changes.

    Changes you can make to

    Medical/Dental/Vision

    • Add self and other family members if adding new spouse or new dependents
    • Drop self or dependents whose coverage starts under spouse’s employer
    • Switch medical or dental plans if adding new spouse or dependents

    Additional Life/AD&D

    • Add, increase, decrease or drop

    Health Care FSA

    • Enroll or increase election
    • Decrease election if eligible for benefits under spouse

    Dependent Care FSA

    • Enroll or increase election
    • Decrease election if new spouse isn’t employed or if participating in plan through employer
    Changes you can make to

    Medical/Dental/Vision

    • Add self and other family members if adding new domestic partnership or new dependents
    • Drop self or dependents whose coverage starts under domestic partner’s employer
    • Switch medical or dental plans if adding new domestic partner or dependents

    Additional Life/AD&D

    • Add, increase, decrease or drop

    Health Care FSA

    • Enroll or increase election
    • Decrease election if newly eligible for spouse’s benefits

    Dependent Care FSA

    • Enroll or increase election
    • Decrease election if new spouse isn’t employed or if participating in plan through employer
    Changes you can make to

    Medical/Dental/Vision

    • Add self and other family members if adding new domestic partnership or new dependents
    • Drop self or dependents whose coverage starts under domestic partner’s employer
    • Switch medical or dental plans if adding new domestic partner or dependents

    Additional Life/AD&D

    • Add or increase

    Health Care FSA

    • Enroll or increase election
    • Decrease election if newly eligible for spouse’s benefits

    Dependent Care FSA

    • Enroll or increase election
    Changes you can make to

    Medical/Dental/Vision

    • Add self and dependents whose coverage ends under former spouse’s employer
    • Must drop former spouse except for legal separation
    • Drop legally separated spouse
    • Drop family members whose coverage starts under former spouse’s employer
    • Switch medical or dental plans if adding self or dependents

    Additional Life/AD&D

    • Add, increase, decrease or drop

    Health Care FSA

    • Enroll or increase election if coverage lost through spouse
    • Decrease election to reflect loss of spouse’s eligibility

    Dependent Care FSA

    • Enroll or increase to accommodate newly eligible dependents
    • Cease coverage if eligibility is lost
    Changes you can make to

    Medical/Dental/Vision

    • Add self and dependents losing coverage under spouse’s employer
    • Must drop deceased spouse
    • Switch medical or dental plans if adding dependents who lost coverage under spouse’s employer

    Additional Life/AD&D

    • Add, increase, decrease or drop

    Health Care FSA

    • Decrease or cease election for dependent who loses eligibility

    Dependent Care FSA

      • Enroll or increase election for dependent who loses eligibility
    Changes you can make to

    Medical/Dental/Vision

        • Drop family members who become covered under other employer
        • Must drop deceased spouse

    Additional Life/AD&D

        • Add, increase, decrease or drop

    Health Care FSA

        • Decrease election if newly eligible for spouse’s benefits

    Dependent Care FSA

        • Enroll or increase election to reflect new eligibility
        • Cease election if dependent added to spouse’s plan
    Changes you can make to

    Medical/Dental/Vision

        • Add family members losing coverage under other employer
        • Switch medical or dental plans if adding family members

    Additional Life/AD&D

        • Add, increase, decrease or drop

    Health Care FSA

        • Enroll or increase election to reflect dependent’s loss of health coverage

    Dependent Care FSA

        • Enroll or increase election if spouse or dependent loses eligibility for dependent care
        • Decrease or cease election to reflect loss of eligibility for coverage
    Changes you can make to

    Medical/Dental/Vision

        • Add family members losing other coverage
        • Switch medical or dental plans if adding family members

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • No changes permitted

    Dependent Care FSA

        • Enroll or increase based on corresponding change under employer’s plan
        • Revoke or decrease based on corresponding change under employer’s plan
    Changes you can make to

    Medical/Dental/Vision

        • Add family members losing coverage
        • Switch medical or dental plans if adding family members
        • Drop family members who become covered under Medicare Parts A, B or D, or Medicaid

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • Decrease or cease election under employer plan
          Increase election if Medicare/Medicaid coverage is less comprehensive than employer plan

    Dependent Care FSA

        • No changes permitted
    Changes you can make to

    Medical/Dental/Vision

        • Add family members losing coverage under other plan who have no other benefits option
        • Switch medical or dental plans if adding family members
        • Drop family members outside of area
        • Waive own coverage if eligible for another employer plan

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • No changes permitted

    Dependent Care FSA

        • No changes permitted
    Changes you can make to

    Medical/Dental/Vision

        • Add children covered by order
        • Drop if court orders coverage by another person

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • Enroll or increase election as a result of new dependents

    Dependent Care FSA

        • No changes permitted
    Changes you can make to

    Medical/Dental/Vision

        • Drop spouse or dependents
        • Switch medical or dental plans
        • Waive own coverage if enrolling in another plan

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • No changes permitted

    Dependent Care FSA

        • Enroll or increase election correspondingly
        • Cease election
    Changes you can make to

    Medical/Dental/Vision

        • Add family members losing coverage
        • Switch medical or dental plans if adding family members

    Additional Life/AD&D

        • No changes permitted

    Health Care FSA

        • No changes permitted

    Dependent Care FSA

        • No changes permitted