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Qualifying Events

QUALIFYING EVENT

 

DOCUMENTATION REQUIRED


Death of spouse or ex-spouse
Copy of death certification and written documentation from the employer on company letterhead providing names of covered participants and date coverage ends

Divorce

 

Copy of the signed divorce decree and written documentation from the employer on company letterhead providing names of covered participants, date coverage ends, and the reason why coverage ended

 

Legal Separation

 

Copy of the agreed order of legal separation and written documentation from the employer on company letterhead providing names of covered participants

 

Loss of Eligibility (does not include a loss due to failure to pay premiums or termination of coverage for cause)

 

Written documentation from the employer or the insurance company on company letterhead providing the names of covered participants, date coverage ends and the reason for the loss of eligibility

 

Termination of Spouse’s Employment (voluntary or non-voluntary)

 

Written documentation from the employer on company letterhead providing names of covered participants, date coverage ends and reason why coverage ended 

Employer Eliminated Contribution to Spouse’s or Dependent’s Insurance Coverage (total contribution, not partial)

 

Written documentation from the employer on company letterhead providing names of covered participants, date contribution amount changed and date coverage ended 

Spouse’s Work Hours Reduced Causing Loss of Eligibility for Insurance Coverage

 

Written documentation from the employer on company letterhead providing names of covered participants, date coverage ends and reason why coverage ended 

 

 

 

 

 

 

 

 

OR Employee Without Coverage or With Single Coverage

Acquires a New Dependent – Spouse (and adding other previously eligible dependents)

Copy of marriage certificate

 

Acquires a new dependent – Newborn (and adding other previously eligible dependents)

Copy of birth certificate for newborn


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Tags: Insurance  group plans  Qualifying Event  Life Events 

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Myriad Benefits Team
The Myriad Benefits Team

Myriad Benefits is a partnership of professionals specializing in employee benefits. We are a preferred broker with all the major carriers in Idaho.

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Myriad Benefits 280 E Corporate Dr, Ste 200, Meridian ID 83642
Phone  208-343-6107 | 800-237-6107 | Fax 208-387-0242 | Email info@myriadinsurance.com

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