Superior Court of California, Santa Barbara County
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Rules for Benefit Changes During the Year

Benefit Comparison Summary: MEDICAL | DENTAL | VISION
Health Insurance Premiums: HEALTHCARE  | COBRA
COBRA | HIPAA | Care Counsel | Employee Assistance
Eligibility | Open Enrollment | Additional Info | Change
Waiver of Coverage
Flexible Spending Accounts: Health | Dependent Care | Transit & Parking


You will not be allowed to change your plan selections or add dependents until the next benefit year (starting July 1, 2009) unless you have a qualified “change in status”.

The following are considered qualified changes in status:

  • Change in legal marital status, including marriage, divorce, legal separation, annulment, and death of a spouse
  • Change in the number of dependents, including birth, adoption, placement for adoption, or death of a dependent child
  • Change in employment status, including the start or termination of employment by you, your spouse, or your dependent child
  • Change in work schedule, including an increase or decrease in hours of employment by you, your spouse, or your dependent child, including a switch between part-time and full-time employment that affects eligibility for benefits
  • Change in a child’s dependent status, either newly satisfying the requirements for dependent child status or ceasing to satisfy them
  • Change in place of residence or worksite, including a change that affects the accessibility of network providers
  • Change in your health coverage or your spouse’s coverage attributable to your spouse’s employment
  • Change in an individual’s eligibility for Medicare or Medicaid
  • A court order resulting from a divorce, legal separation, annulment, or change in legal custody (including a Qualified Medical Child Support Order) requiring coverage for your child or dependant foster child
  • An event that is a special enrollment event under HIPAA (the Health Insurance Portability and Accountability Act), including acquisition of a new dependent or spouse or the loss of coverage under another health insurance policy or plan if the coverage is terminated because of :
    • Voluntary or involuntary termination of employment or reduction in hours of employment or death, divorce, or legal separation,
    • Termination of employer contributions toward other coverage, OR
    • If the other coverage was COBRA Continuation Coverage, exhaustion of the coverage

Two rules apply to making changes to your benefits during the year:

  • Any changes you make must be consistent with the change in status, AND
  • You must make the changes within 31 days of the date the event (marriage, birth, etc.) occurs.

 

 

       

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