- Legal marital status. This would include marriage,
divorce, legal separation, and annulment.
- Number of dependents. Includes any event that changes
the number of an employee's dependents, (e.g. adoption, birth, or
death of a child).
- Employment status. Applies to the termination or
commencement of employment for the employee, spouse or dependent
resulting in the loss or gain of insurance eligibility.
- Work schedule. Includes a reduction or increase in
hours of employment by the employee, spouse or dependent, which
results in a change from full-time to part-time or vice versa thereby
changing premium options.
Strikes, lockouts, and leaves of absence are specifically included.
- Changes that cause a dependent to become eligible for coverage or
lose eligibility under the plan. For example, by reason of
age or student status.
- Change of residence or work site by the employee, spouse or
dependent.
- COBRA eligibility for employee, spouse or dependent, (applies
only to cafeteria-plan contributions to pay for COBRA coverage).
- Issuance of a family relations judgment, decree or order,
such as a qualified medical child support order.
- Medicare or Medicaid entitlement for employee, spouse or
dependent.
- Bona fide rehire of an employee during the same year as his
or her termination, (applies only to reinstatement of the benefit
elections in effect before the termination).
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