Making Mid-Year Changes

After your initial enrollment on day one following the date of employment, you may change your elections (plans and coverage) only during an Open Enrollment period or within 31 days following a change in family circumstance such as:

• Change in marital status
• Change in the number of dependents following birth, adoption, placement for adoption, or death of a dependent
• Change in employment status for me, my spouse, or dependent
• Work schedule change resulting in an increase or reduction in hours of employment for you, your spouse, or dependent (e.g., part-time to full-time)
• Loss of or enrollment in other coverage
• Change in unmarried dependent status that causes the dependent to become covered or lose coverage
• Change in residence or worksite for you, your spouse, or dependent

The type of change requested must be consistent with the change of family status.