Page 8 - Remita Guide 2020 - NonCA FINAL
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Changes to enrollment



         Open Enrollment
         During our annual open enrollment period, you may make new benefit elections for the following January 1st effective
         date.

         Qualifying Event
         Once you make your benefit elections, you cannot change them throughout the year unless you experience a qualifying
         event as defined by the IRS. Examples include, but are not limited to:










            Marriage, divorce, legal   Birth, adoption, or death of a   Qualified Medical Child   Change in your dependent’s
           separation, or annulment       child or spouse        Support Order (QMCSO)          eligibility status









            Loss of coverage from   Change in your residence or   Loss of coverage through   Eligibility for a state’s
             another health plan      workplace (if your benefit   Medicaid or Children’s     premium assistance
                                          options change)       Health Insurance Program   program under Medicaid or
                                                                         (CHIP)                      CHIP


         Coverage for a new dependent is not automatic. If you experience a qualifying event, you have 30 days to update your
         coverage. You may login to the UltiPro Employee Portal to update your dependent information as needed. UltiPro
         Employee Portal login information is located on page 4 of this guide. If you do not update your coverage within 30 days
         from the qualifying event, you must wait until the next annual open enrollment period to update your coverage. Please
         contact your Human Resources department with necessary documentation to make changes in UltiPro.










                                                                                            How Can I Enroll?
                      30 days                                          Enrollment is easy when you log into UltiPro.
                                                                      Login information is located on page 4 of this
                       to make changes if you                                                         document.
                    experience a qualifying event
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