Qualifying Mid-Year Events
• Having a baby?
• Got a new spouse ... or a new ex-spouse?
• Child becoming "self-supporting"* soon?
*Working a full-time job; getting married; or turning 26 by year's end
Answers to these Qualifying Mid-Year Events questions, and many others allow you to make changes to your health insurance plan and flexible reimbursement accounts -- if you report them to Human Resources within 60 days of their occurrence.
The full list of approved Qualifying Mid-Year Events is available at the Department of Human Resource Management web site.
What to do when you experience a Qualifying Mid-Year Event?
- Complete the State Enrollment for Active Employees form
- Complete the Qualifying Event Notice Form
- Provide supporting documentation for Qualifying Event
- Submit all completed forms to Human Resources within 60 days of the qualifying mid-year event
And remember...
When you drop an ineligible spouse or child, the university must be provided with the name and new address so that the individual can receive information about COBRA health insurance coverage.
NOTE -- Your change in health insurance coverage will become effective the first of the month following receipt of your enrollment form.
Exceptions
- Birth of a child -- effective the first of the month in which the birth occurs
- Dropping an ineligible dependent -- effective the end of the month in which the event occurred
What happens if you don't report the Qualifying Mid-Year Event within 60 days?
- You will not be able to add a newly eligible child or spouse to your health insurance coverage until the next year's open enrollment period
- If you are providing health insurance coverage for an ineligible dependent, you will not be able to reduce your premiums to the appropriate membership level and you may be subject to the Commonwealth of Virginia's penalty -- exclusion from State health insurance coverage for up to three years
NOTE: visit the DHRM Facts and Information page if you are looking for information about health benefits in retirement or while on VSDP