Reporting Life Events: Employee or Dependents Lose other Coverage

If an employee and/or the employee's eligible dependents have outside benefits coverage and lose eligibility (due to the employee's spouse losing employment or other involuntary means) you may enroll all eligible persons currently enrolled in the other plan under your employer's plan on the employee's behalf.

A Wizard will step you through the process necessary to complete the benefits change request.  If you need to leave the process prior to completion, use the ExitExit button to save your changes and resume later.

1.   On the Management Navigation Menu, click Benefits > Life EventsBenefits > Life Events.

The Life EventsLife Events page displays.

2.   Select the employee who you like to report a loss of coverage event for from the EmployeeEmployee drop-down box.

3.   n the Create New Life Event section, select Employee or Dependents Lose other Coverage Life Event type.

The Life Event WizardLife Event Wizard displays.

4.   Enter a date (in the format mm/dd/yyyy) in the Effective DateEffective Date text box.

Note: Use the effective date of the loss of the other coverage as the effective date for this Life Event. This Life Event may be submitted up to 30 days before the effective date, but no later than 31 days after the effective date.   

5.   Enter an appropriate description of the loss of coverage in the Life Event NotesLife Event Notes text box.

6.   If there are any files you would like to attach to assist with the validation of the life event, they may be added in the Supporting DocumentsSupporting Documents section. 

7.   Click the Start WizardStart Wizard button.

The Life Event - Dependent ChangesLife Event - Dependent Changes page displays.

8.    If the employee has dependents who have lost other coverage and have never been added into the benefits records, use the Add DependentAdd Dependent button on this page to create all necessary dependent records.

9.   Click on the employee's dependent name to enter information for the employee's new spouse, as well as for other dependents in the employee's family who will be newly added to the employee's coverage due to this Life Event.    

Note: You cannot delete dependents as part of this Life Event. In addition, you cannot remove existing dependents from any current coverage. You may only elect new coverage, or add dependents into the employee's existing coverage.

10.   Once you have completed all dependent changes, click the NextNext button.

The Life Event Wizard (Information) page displays.

11.  Click the NextNext button.

The Life Event Wizard - Current Year ElectionsLife Event Wizard - Current Year Elections page displays.

Notes:

12.  To make the appropriate changes to the employee's current year coverage, click the EditEdit icon corresponding to the relevant plan.

Note: Be sure to include all desired changes for this Life Event before continuing on to the next step. This would include enrolling new dependents into a particular plan, changing plans, or waiving coverage previously selected.

13.  Once all Current Year elections are complete, click NextNext button to continue.

The Life Event Wizard (Information) page displays.

14.  Click the NextNext button.

The Life Event Enrollment ValidationLife Event Enrollment Validation page displays.

Note:  The Validation process will verify that all modified elections meet certain enrollment rules according to your plan rules. If critical errors are encountered, they will be indicated in the subsequent report and must be corrected prior to submitting the Life Event.

15.  Carefully review all information on this report.

16.  If you need to adjust any information, click the PreviousPrevious button and return to the Benefit Enrollment screen.

17.  If you are satisfied with these elections, click the PrintPrint button to obtain a printed copy of this report.

18.  Click the NextNext button.

The Life Event Wizard (Information) page displays.

19.  Click the NextNext button.

The Life Event SummaryLife Event Summary page displays all changes to the employee's benefits coverage as a result of the employee's loss of coverage.

20.  If all changes are accurate, click the ApproveApprove button.

Result: The Life Event is submitted to the benefits administrator for approval.

Notes: