Special Open Enrollment - Divorce, Dissolution of a Qualified Domestic Partnership, or Legal Separation

Where subscriber's dependent no longer meets eligibility criteria due to the subscriber's divorce, dissolution of qualified domestic partnership, or legal separation (as documented by a court order).


If you are the subscriber and are currently enrolled with medical and dental coverage

Options

YOU MUST:

  • Remove your ex-spouse or former qualified domestic partner* when a divorce or dissolution of a domestic partnership is finalized, even if a court order requires that you provide health insurance for the ex-spouse or former partner. Consequences for not removing the ex-spouse or former partner's coverage may include:
    • Dependent's loss of eligibility to continue enrollment under one of the continuation options (i.e. COBRA).
    • Subscriber may be billed for claims paid by the health plan for services after the dependent loss of eligibility.
    • Subscriber is responsible for premiums paid by the employer for the dependent's health plan enrollment after the dependent lost eligibility.

YOU MAY:

  • Change your medical and/or dental plan coverage.

Required Actions

  • Within 60 days of the date of the event, submit the following documentation to the Benefits Office:
    • Employee Enrollment/Change Form
    • Copy of court order documenting legal separation.
    • Proof of Loss is required if ending coverage was not noted in the Divorce Decree.

Top of Page


If you are the subscriber and you previously waived medical coverage

Options

YOU MUST:

  • Enroll in medical coverage if you do not have other group medical coverage.

Required Actions

  • Within 60 days of the date of death, submit this form to the Benefits Office:
    • Employee Enrollment/Change Form
    • Copy of court order documenting legal separation.
    • Proof of Loss is required if ending coverage was not noted in the Divorce Decree.

Top of Page


Special Notes*

Subscribers may remove a lawful spouse in the event of a legal separation documented by the court order, provided the court order does not require the subscriber to maintain the spouse's health coverage.

Top of Page


Coverage Begins

  • Coverage or Plan Change: Begins the first day of the month following the dependent's loss of eligibility from the plan.
  • Ineligible Dependent: Enrollment ends the last day of the month in which they are no longer eligible to be on the plan.

Top of Page


Important Reminders

Evaluate your life insurance coverage and retirement plan to make sure the beneficiary designees are current. See Beneficiary Designations.

Evaluate the optional period for your long-term disability insurance.

You may enroll, change, or cancel your participation in these optional tax-savings programs:

Top of Page


Resources

Top of Page


2013 Great College to Work For          AHA 2012 Platinum Achievement 2014 Leaders In Health Care Award Western Sustainability Office Certification
Page Updated 11.19.2013