Qualifying Enrollment Events

Enrollment Events For Employees:

  • Annual open enrollment
  • Part-time to full-time status change (within 31 days of change)
  • New hire (within 31 days of hire)
  • Loss of other medical coverage (within 31 days of loss of coverage)

Enrollment Events For Dependents and/or Changes in Enrollment:

  • Annual open enrollment
  • Loss of other medical coverage (within 31 days of loss of coverage)
  • Newborn (within 31 days of birth)
  • Adoption (within 31 days of adoptive placement)
  • Stepchild (within 31 days of marriage)
  • Court appointed guardian (within 31 days of appointment)
  • Marriage (within 31 days of marriage)
  • Civil union (within 31 days of union)
Back to Enrollment

Requests for enrollment at any other time cannot be accommodated. No retroactive enrollment is accepted. Please submit documents to verify eligibility for the enrollment event. For example, please timely submit new enrollment forms, previous insurer's termination letter, birth certificate, adoption papers, marriage or civil union licenses.