Life-Changing Events

What are qualified events?

During the plan year, you can change your benefit coverage if a qualified change in status affects you or your dependents' eligibility under your employer's plans. If you're eligible to make coverage changes, your changes must be consistent with the change in status. They must also match any changes your spouse or child makes to his or her coverage under another employer's plans. Below are the situations that qualify as a change in status.

Your legal marital status changes:

  • Marriage
  • Divorce, legal separation, or annulment
  • Death of your spouse

The number of your eligible children changes:

  • Birth or adoption of a child
  • Child gains or loses eligibility for coverage under the plan
  • Death of a child

Your benefits eligibility changes because of:

  • Taking or returning from a leave of absence
  • A change in work schedule or status that causes you to gain or lose eligibility

Your family member's benefits eligibility changes because of a change in his or her eligibility or coverage under another employer's plans:

  • A change in work schedule or status that causes him or her to gain or lose eligibility
  • He or she gains a benefit option or loses coverage
  • He or she makes new coverage choices during his or her employer's annual enrollment
  • Your or your family member's COBRA coverage from another employer expires
  • You or your family member becomes eligible for or loses Medicare or Medicaid
  • You or your family member loses coverage under a government's or educational institution's plan

Utah NetCare: Utah's Alternative Coverage UT members only, Utah NetCare: Utah's Alternative Coverage (0.9 MB) Download PDF English

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