Page 5 - 2022 Insurity OE Guide FINAL

Qualifying Life Events (QLE)

Generally, you may only change your benefit elections during the annual Open Enrollment period. However, you may
change your benefit elections during the year if you experience a Qualifying Life Event such as:

Action Allowed
Qualifying Life Event Examples Documentation Needed
(when eligibility criteria met)
• Copy of marriage certificate
Marriage or Divorce • If not currently enrolled: • Copy of divorce decree or other
– Add employee only court document
– Add employee/spouse
Death of a Spouse or Child – Add employee/child(ren) • Copy of death certificate
– Add employee/spouse/child(ren)
• Copy of birth certificate or copy of
Birth or Adoption of a Child • If already enrolled: Increase or decrease
EE/SP/CH volume legal adoption papers
The Employee’s spouse’s termination of employment Note: Employee must be enrolled for a
or a change in his or her spouse’s employment that dependent to be enrolled. • COBRA paperwork or letter
results in the loss or gain of group coverage from employer

These are some common examples of Qualifying Life Events. Please refer to SPD for further information.

You have 31 days to submit your documentation and Life Event elections in UKG.
If you do not submit your Life Event elections within 31 days of the qualified event date, you will have to wait until the next
Open Enrollment period to make changes (unless you experience another Qualifying Life Event).

When You Experience a Qualifying Life Event

If you recently experienced a QLE, remember to complete the following to make sure you have the right coverage for
you and your family:
O Submit your QLE benefit elections or changes in UKG by going to Myself > Benefits > Manage My Benefits.
Be sure to do this within 31 days of the event effective date.
O Submit the appropriate documentation in UKG – see the chart above for details.

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