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Stone County School District
QUALIFYING LIFE EVENTS
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Becoming eligible (or losing eligibility) for Medicare, MedicaidWithin 31 days of the eligibility change, you may add or drop dental, or vision coverage for yourself or the applicable family member. In addition, your plan may permit you to add or drop coverage if you gain or lose eligibility for a Medicaid or a premium assistance subsidy. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a copy of the notification letter from Medicare, or Medicaid.
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DivorceWithin 31 days of the date the divorce decree is signed, you may elect any coverage you are losing under your spouse’s plan. If you currently cover your spouse, you must drop his or her coverage for dental, vision, and group term life, although you may continue to cover your children. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a copy of the first and last pages of your certified divorce decree. You should also review your beneficiary designations for life insurance and retirement plans. Prior to the final decree, you may not drop a spouse except during Open Enrollment.
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MarriageWithin 31 days of the date of the marriage, you may add your spouse to your existing dental, or vision coverage, or drop your coverage to go on your spouse's plan. You may also elect to change your medical FSA amount, and elect spouse coverage under our various life plans. You will need to complete the appropriate forms and provide a copy of your certified marriage certificate. You should also review your beneficiary designations for life insurance and retirement plans.
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A change in residence to an area not covered by your current optionWithin 31 days of the move, you may change your Option only to a plan that covers the area to which you moved.
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If a Qualified Medical Child Support Order is established for a dependentWithin 31 days of the order, you may add the child to your existing dental, or vision coverage or new coverage for yourself and the child. You will need to complete the appropriate forms and provide a copy of the Qualified Medical Child Support Order.
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If your spouse changes coverage during his/her employer’s Open Enrollment periodWithin 31 days of the Open Enrollment, you may elect dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
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If your spouse’s employment status changes causing a gain or loss of eligibility for coverageWithin 31 days of the date of the status change (such as moving between full-time and part-time), you may elect dental, or vision coverage for yourself and your spouse and children, or drop your coverage to go on your spouse’s plan. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
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Birth or adoption of a child, or having a child placed in your custody or guardianship though the courtWithin 31 days of the birth, adoption (official placement or final decree), or court order, you may add the child to your existing dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You may elect to change your medical FSA amount, and start or change a dependent care FSA. You may also elect child life insurance. You will need to complete the appropriate forms and provide a copy of the certified birth certificate, adoption placement order or decree, or court order.
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Change is a spouse’s employer causing gain or loss of coverageWithin 31 days of the separation or the new hire date, you may elect dental, or vision coverage, or drop your coverage to go on your spouse’s plan. You may also elect to change your medical FSA amount. You will need to complete the appropriate forms and provide a letter from your spouse’s employer on their letterhead verifying the effective date of the change, listing all coverage being gained or lost, and listing all covered individuals.
For BCBS State Health & State Life Qualifying Life Event (Special Enrollment) changes, contact the HR/Benefits department
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