Qualified Family Status Change

You must experience a qualified family status change to modify, add or drop your Health and Life Benefits during the plan year. If the change causes a change in eligibility for you, your spouse or eligible dependents, you may be eligible to change your coverage, except LTD and the Legal Plan. The deadline for submitting a family status change request is 31 days from the date of your event, except for births and adoptions, which have a 90-day deadline.

You may also process the following events online at Your Benefits Resources.

• Birth/adoption
• Marriage
• Divorce
• Loss of dependent eligibility (certain events)
• Dependent gain of eligibility
• FT to PT change of hours
• PT to FT change of hours
• Spouse gain of employment
• Spouse loss of employment

For all other events, call the Employee Resource Center - 888-348-4835.

For a complete listing of qualified changes, please refer to your Summary Plan Description under Changing Your Coverage.