Benefit Status Changes
Employees can make certain benefit coverage changes during the plan year if they experience a qualifying status change event and a completed status change form is received in the Benefits and Wellness office within 30 calendar days of the event. Failure to meet these requirements will prevent employees from enrolling eligible dependents in benefit coverages and/or changing certain benefit elections for the remainder of the benefit plan year.
Call (989) 774-3661 as soon as possible if you have any questions about your benefits when a status change occurs. Status change forms can be returned to: Benefits and Wellness office, Rowe Hall 108, Mount Pleasant, MI 48859, e-mailed to email@example.com or faxed to (989) 774-1058.
Qualifying Status Change Events
Prospective Election Changes
Change in coverage due to a status change will generally be effective as of the first payroll period following receipt of the status change form, provided the form is received within 30 calendar days of the event.
If the qualifying event is a birth, adoption or placement of adoption of an eligible child, then the change in coverage will be retroactively effective to the date of the birth, adoption or placement of adoption, provided the completed status change form is received within 30 calendar days of the event.