Page 18 - SIH 2022 Re-Enrollment Guide
P. 18
LIFE EVENTS–QUALIFIED STATUS CHANGES
DURING THE YEAR
You can change your coverage during the year only if you experience a qualiied change in status consistent
with IRS regulations for a cafeteria 125 plan. Changes must be made within 31 days of the qualiied event
date. Information on this type of plan can be found at www.irs.gov. Examples of a qualiied change in status:
X If you add or lose a family members through Making Changes
marriage, divorce, birth, adoption, or death To make changes, please go online to
X Termination of spouse’s employment or beneits.sih.net or call the Beneit Service Center at
commencement of employment by spouse 844.386.2375.
X Loss of coverage under another group health
plan You must make the election change within 31 days
X Your status changes from full-time to part-time of the qualiied life event (60 days in the case of a
special enrollment right under the Children’s Health
or per diem Insurance Program Reauthorization Act of 2009).
Waiving Coverage The change must be consistent with the qualiied
If you waive healthcare coverage for yourself and change in status.
your eligible family members because you have
other coverage, you can elect coverage with SIH Your coverage will be efective on the date of the
at a later date if you involuntarily lose your other event.
coverage or acquire a new family member.
If you do not change your elections within 31 days
of a qualiied change in status event which causes
For a more detailed guide regarding qualiied life events, your family members to lose eligibility under the
you can access the Qualiied Status Change Guide year-
round. Visit Employee Self Service under the home tab on option, the ineligible family member’s coverage
the Lawson Dashboard, or the beneits enrollment site at will still terminate as of the last day of the month,
beneits.sih.net.
or as of the event date, in which he or she became
ineligible. You will be responsible for any claims paid
after your family member became ineligible.
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DURING THE YEAR
You can change your coverage during the year only if you experience a qualiied change in status consistent
with IRS regulations for a cafeteria 125 plan. Changes must be made within 31 days of the qualiied event
date. Information on this type of plan can be found at www.irs.gov. Examples of a qualiied change in status:
X If you add or lose a family members through Making Changes
marriage, divorce, birth, adoption, or death To make changes, please go online to
X Termination of spouse’s employment or beneits.sih.net or call the Beneit Service Center at
commencement of employment by spouse 844.386.2375.
X Loss of coverage under another group health
plan You must make the election change within 31 days
X Your status changes from full-time to part-time of the qualiied life event (60 days in the case of a
special enrollment right under the Children’s Health
or per diem Insurance Program Reauthorization Act of 2009).
Waiving Coverage The change must be consistent with the qualiied
If you waive healthcare coverage for yourself and change in status.
your eligible family members because you have
other coverage, you can elect coverage with SIH Your coverage will be efective on the date of the
at a later date if you involuntarily lose your other event.
coverage or acquire a new family member.
If you do not change your elections within 31 days
of a qualiied change in status event which causes
For a more detailed guide regarding qualiied life events, your family members to lose eligibility under the
you can access the Qualiied Status Change Guide year-
round. Visit Employee Self Service under the home tab on option, the ineligible family member’s coverage
the Lawson Dashboard, or the beneits enrollment site at will still terminate as of the last day of the month,
beneits.sih.net.
or as of the event date, in which he or she became
ineligible. You will be responsible for any claims paid
after your family member became ineligible.
18
