Qualifying events or change in status may affect eligibility to receive health benefits.
If one of your employees experiences a qualifying life event or change in employment status, which affects his/her eligibility or his/her dependent’s eligibility to receive health benefits under your group plan, it’s your responsibility to provide written notice within 31 days of the event or change. Simply complete an employee enrollment and change form and send it to your Group Services representative.
Common life/family events may include but are not limited to:
Marriage or commencement of domestic partnership
Divorce, legal separation or termination of domestic partnership
Addition of a child via birth or adoption
Death of the health plan member or his/her dependent(s)
Change of home address outside the plan’s service area
Common employment status changes may include but are not limited to:
Employee becomes newly eligible to receive coverage
Employee becomes ineligible to receive coverage or loses employment
Spouse/domestic partner obtains health benefits in another group health plan
Spouse/domestic partner loses employment or coverage in another group health plan
If proper notice is not provided, which would have resulted in termination of coverage, Sierra Health and Life shall have the right to terminate coverage.
