Qualified Change in Status

During the year, you may need to add or drop dependents from coverage. If you make the change within 60 days of a family status change affecting the dependent, any change in your cost for coverage will be on a pretax basis, and evidence of the dependent's good health will not be required for adding coverage for that dependent.

Qualified changes in status may include:

• Change in marital status - marriage, divorce, legal separation, annulment or death of a spouse.
  
• Change in number of eligible dependents - birth, adoption, placement for adoption, or death of dependent.
  
• Change in employment status for you, your spouse or your eligible dependent that affects health care coverage.
  
• Inability of you or your dependent to meet your provider's coverage requirements because of age, student status or similar circumstances, if it results in the loss of health care coverage.
  
• Enrollment by you, your spouse or dependent in Medicare or Medicaid.
  
• Court judgment, decree or order requiring coverage for your dependent child(ren).
  
• Any other changes permitted by the Internal Revenue Service.