Qualifying Mid-Year Events
They affect your health insurance benefits!
• 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 23 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 31 days of their occurrence.
What to do when you experience a Qualifying Mid-Year Event?
- Complete the State Enrollment for Active Employees form to add or drop the dependent
- Complete the Qualifying Event Notice Form
- Provide supporting documentation for Qualifying Event
- Complete a Flexible Reimbursement Account (FRA) Election form -- if the qualifying mid-year event allows you to enroll in (or make changes to) your dependent care or medical accounts
- Submit all completed forms to Human Resources within 31 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 31 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