Page 5 - 2016 Enrollment
P. 5
Qualifying Events
A qualifying event is a change in your personal life that may impact your eligibility

or dependent’s eligibility for beneits.

Examples of some qualifying events include:


„ Change of legal marital status (i.e., marriage, divorce, death of spouse)
„ Change in number of dependents (i.e., birth, adoption, death of dependent,
ineligibility due to age)

„ Change in employment or job status

It is your responsibility to contact the Employee Service Center at 866.213.8919

within 30 days of the qualifying life event. Failure to notify the Employee Service
Center within 30 days will prohibit your ability to change your
beneits election(s).

ALL Dependents Must Have a Valid SSN on File


You must update your dependents’ SSNs in our ADP portal
every year. Beginning this year and moving forward, employers
are required to provide names and Social Security Numbers to
the federal government for each individual enrolled for medical
coverage. This reporting requirement helps the federal government
verify compliance with the Health Care Reform Individual Mandate.
If your dependent is on a Visa with no SSN, you may use their ITIN
number in lieu of a SSN.




























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