If you experience a QLE, you must request a change to your benefits in Plansource via Okta within 30 days (60 days with respect to the Children’s Health Insurance Program (CHIP) or Medicaid changes) of the date you first experience the QLE.
| Qualifying Life Event | Effective Date |
|---|---|
| Marriage | Date of event |
| Divorce | First of the month after the first, unless it falls on the first of the month |
| Legal separation | Date of event |
| Domestic Partner creation or dissolution | Date of event |
| Birth or Adoption of a child, or becoming a child’s legal guardian | Date of event |
| Death of a spouse or dependent child | Date of event |
| Change in your employee status | Date of event |
| Change in your spouse’s employment status | Date of event |
| Your child gains other coverage | First of the month after the first, unless it falls on the first of the month |
| Your child loses other coverage | Date of event |
| Your child loses dependent status | First of the month after the first, unless it falls on the first of the month |
| You receive a Qualified Medical Child Support Order (QMCSO) | Date of Event |
| Loss of coverage under another group insurance plan | Date of Event |
| Becoming eligible for Medicare | Date of Event |
| Becoming eligible for a premium subsidy | Date of Event |
| Losing coverage under state CHIP or Medicaid | Date of Event |