Page 5 - The Final W book

Necessary documentation: Copy of Certificate of Credible Coverage, or letter/document
explaining spouse’s loss of health coverage or new coverage effective date. You will need
to submit this document to the HR Department within 30 days of the event.

Action Required: If you do not submit the appropriate paperwork within 30 days of the
event, you may be required to wait until the annual Open Enrollment to make these
changes. Be sure to update your beneficiary designation.

3. What if I move?

MEDICAL/DENTAL/VISION INSURANCE: Event does not warrant change to this benefit.

Action Required: You must report the change of address to the HR Department within 30
days of the event and make changes to your Dependent Care Account if the need arises.

4. What if I get married?

MEDICAL/DENTAL/VISION INSURANCE: If you get married, you can add your spouse to your
medical, dental and/or vision, and voluntary life insurance plans or if you wish to cancel your
medical, dental and/or vision, and voluntary life insurance coverage and be added to your
spouse's coverage, you can make these changes within 30 days from the date of marriage.

Necessary documentation: Copy of marriage certificate submitted within 30 days to the HR
Department.

Action Required: You have 30 days from the date of marriage to add your spouse or cancel
medical, dental and/or vision coverage and/or Voluntary Life Insurance. If you do not submit
the appropriate paperwork within the 30-day deadline, you may be required to wait until
the annual Open Enrollment to make these changes. Be sure to update your beneficiary
designation.

5. What if I have a baby/adopt a child?

MEDICAL/DENTAL/VISION INSURANCE: You have 30 days from the birth or adoption to add
your newborn/child to your medical, dental and/or vision insurance (even if you already have
family coverage). The newborn will be covered retroactive to the newborn’s birth date or the
date you received custody of your adopted child.

Necessary documentation: Copy of Birth Certificate, letter from the Hospital, or a copy
of the adoption papers submitted within 30 days to the HR Department.

Action Required: You have 30 days from the date of birth or adoption to add a baby to your
medical, dental and/or vision plan. If you do not submit the appropriate paperwork within the
30-day deadline, you may be required to wait until the annual Open Enrollment to make these
changes. Be sure to update your beneficiary designation.

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