Making Mid-Year Changes

After your initial 90-day eligibility period 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.