Qualifying events include: (documentation required)

• Marriage,
• Birth, adoption, placement for adoption or legal guardianship of a child,
• Change in employment status,
• Divorce, annulment, or dissolution,
• Legal separation,
• Involuntary termination of other group coverage, or
• Death.

The effective date of coverage will be:

• January 1st for an addition during open enrollment. Terminations during open enrollment shall be effective December 31st.
• The first day of the month following the receipt of an enrollment form based on a qualifying event.
• The date of marriage for the addition of a new spouse or stepchild.
• The date of birth for the addition of a newborn.
• The adoption date for the addition of a newly-adopted child or the date the child is placed for adoption.
• The date the legal guardianship becomes effective.