There are two situations that allow you to make mid-year changes to your benefits: a work status change or a qualifying event.
- If you move from part-time to full-time status, or from full-time to part-time, the amount you pay for some of your benefits will change.
- These rate changes will take effect on the first day of the month following (or coinciding with) your status change.
- You’ll also have the opportunity to change some of your benefits, even if it’s the middle of the year.
- You’ll receive notification from Human Resources about the changes you can make and how to do so. You’ll need to submit your request for any changes by a specific date—if you don’t do so, your benefits will remain the same until the next enrollment period. All changes will go into effect on the first day of the month following (or coinciding with) your status change.
Legally, certain life changes give you the option of updating or changing your benefit selections, even in the middle of the plan year.
These Qualifying Events include (but not limited to):
Not all qualifying events allow you to change all benefit options. For example, if your spouse loses health insurance coverage elsewhere, you’ll be permitted to add him or her to your health care plan mid-year. However, the event will not qualify you to make a change in other benefits, such as life insurance.
- Divorce/legal separation/annulment
- Birth or adoption of a child
- Change in legal custody of a child
- Child becomes ineligible for coverage
- Death of a spouse or dependent
- Change in spouse’s employment
- You or a family member loses or obtains coverage elsewhere
- Your spouse's open enrollment period through his/her employer
It is up to you to notify Human Resources within 30 days of a Qualifying Event.
If you report a qualifying event more than 30 days after it happens, you will not be eligible to change your benefits until the next annual Open Enrollment period. There are two qualifying events that allow you 60 days to make benefits changes:
For more information about qualifying events call the Benefits Team at (585) 922-1100.
- The loss of coverage under Medicaid or the Children’s Health Plus Program (CHIP) due to becoming ineligible or
- Becoming eligible for the state premium assistance program