Status Change Events

Health Care Plan and Flexible Spending Account (“FSA”) elections you make are irrevocable during the Plan Year unless you experience a status change event defined by the Internal Revenue Code.  All employees can enroll, cancel or change elections in the Health Care Plan and enroll in FSA accounts during Open Enrollment each year.
If you experience a status change event, you may enroll in the Health Care and/or FSA Plans or change your enrollment in the Health Care and/or FSA Plans consistent with the status change event.
You must request the change within 3 months of the date of the status change event or before June 30 (the end of the plan year), whichever is earlier.

• To change your Health Care Plan election or to cancel coverage, use the Health Care Coverage Change Form.
• To enroll in the Health Care Plan, use the Health Care and Dental Coverage Enrollment Form.
• To change your FSA election, use the FSA Change Form.

STATUS CHANGE EVENTS INCLUDE THE FOLLOWING:

Change in Legal Marital Status

• Marriage
• Divorce, Legal Separation, or Death of Spouse

Change in Number of Dependents

• Birth of a Child/Placement of a Child for Adoption or Foster Care
• Death of a Dependent

Dependent Satisfies or Ceases to Satisfy Dependent Eligibility Requirements

• Dependent Marries, Turns Age 26, or is Otherwise No Longer Dependent on You

Employment Status Change  (Available if the event affects the employee, employee’s spouse, or employee’s dependent child)

• Termination of Employment - Does not apply for an employee rehired by the University after a break in employment of 30 days or less
• Commencement of Employment
• Strike or Lock-out
• Begin an Unpaid Leave of Absence
• Return from an Unpaid Leave of Absence
• Newly Hired into a Benefit-Eligible Position from an Ineligible Position
• Position is No Longer Benefit-Eligible
• Change in FTE (limited changes)

Involuntary Loss of Other Health Coverage

Change in Medicaid or CHIP Eligibility

• Loss of Medicaid or Children's Health Insurance Program (CHIP) coverage because you, your spouse, and/or your dependent child are no longer eligible
• You, your spouse, and/or your dependent child become eligible for a state's premium assistance program under Medicaid or CHIP

Significant Dependent Care Cost Changes (Applicable to Dependent Care FSA Only)

SPECIFICALLY NOT INCLUDED AS STATUS CHANGE EVENTS

• Paid Leave of Absence
• Decrease in Pay

If you believe you have experienced a qualified Status Change Event and have questions, please contact the Benefits Department for additional information.