Page 6 - 2018 Carlstar Benefit Guide
P. 6
6 BENEFITS ENROLLMENT • 2018
Making Changes During the Year—Qualified
Status Changes
Examples of Documentation
Generally, after you have made your medical, vision, dental, life,
and reimbursement account elections, you can make changes only That May Be Required
during the next open enrollment period. If you have a qualifying X Birth, marriage, or death certiicate
status change during the year and make appropriate event changes X Veriication of an eligible
within 31 days of the event, you may change certain beneit plan dependent’s change in employment
elections before the next open enrollment period. A change in status or coverage
status is deined as an event which results in the gain or loss of X Court orders for adoption, legal
eligibility by you or your dependents. guardianship, legal separation,
or divorce
If you change your coverage within 31 days of the qualiied
change in status, your election changes will generally be effective The Following are Examples
on the date of the change in status. If you do not change your of Qualifying Status Changes
coverage within 31 days of the date the change in status occurs, X A change in legal marital status
you must wait until the next open enrollment period before
making any voluntary changes to your elections. You must provide X A change in number of
dependents (e.g., death, birth)
information and documentation which is necessary to verify your
qualiied change in status as required by the company. X A change in your employment
status of you, your spouse’s, or
your dependent(s)
When Coverage Ends X The termination of your
dependent’s status as a dependent
Coverage for you and your dependents ends on your last day under the terms of the plan
of active employment or on the date you no longer meet the X A change in residence or worksite
plan’s eligibility requirements. Coverage for your dependents by you or your dependent
may also end on the date they no longer meet the deinition of X
an eligible dependent. Under certain circumstances, you may A judicial decree which requires
health insurance coverage for a
be able to continue some beneit coverages for yourself and/ participant’s dependent child
or dependents through COBRA or portability/conversion X
provisions of the plans. You, your spouse’s, or your
dependent’s enrollment for health
beneit coverage under Medicare
X Loss of coverage of spouse
or dependent who reaches age 26
Making Changes During the Year—Qualified
Status Changes
Examples of Documentation
Generally, after you have made your medical, vision, dental, life,
and reimbursement account elections, you can make changes only That May Be Required
during the next open enrollment period. If you have a qualifying X Birth, marriage, or death certiicate
status change during the year and make appropriate event changes X Veriication of an eligible
within 31 days of the event, you may change certain beneit plan dependent’s change in employment
elections before the next open enrollment period. A change in status or coverage
status is deined as an event which results in the gain or loss of X Court orders for adoption, legal
eligibility by you or your dependents. guardianship, legal separation,
or divorce
If you change your coverage within 31 days of the qualiied
change in status, your election changes will generally be effective The Following are Examples
on the date of the change in status. If you do not change your of Qualifying Status Changes
coverage within 31 days of the date the change in status occurs, X A change in legal marital status
you must wait until the next open enrollment period before
making any voluntary changes to your elections. You must provide X A change in number of
dependents (e.g., death, birth)
information and documentation which is necessary to verify your
qualiied change in status as required by the company. X A change in your employment
status of you, your spouse’s, or
your dependent(s)
When Coverage Ends X The termination of your
dependent’s status as a dependent
Coverage for you and your dependents ends on your last day under the terms of the plan
of active employment or on the date you no longer meet the X A change in residence or worksite
plan’s eligibility requirements. Coverage for your dependents by you or your dependent
may also end on the date they no longer meet the deinition of X
an eligible dependent. Under certain circumstances, you may A judicial decree which requires
health insurance coverage for a
be able to continue some beneit coverages for yourself and/ participant’s dependent child
or dependents through COBRA or portability/conversion X
provisions of the plans. You, your spouse’s, or your
dependent’s enrollment for health
beneit coverage under Medicare
X Loss of coverage of spouse
or dependent who reaches age 26
