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Qualifying Events
Following are
the Qualifying Events that would allow you to enroll in Medical or Dental
insurance after your initial 31-day new employee window.
The deadline is 31 days!
Be sure to contact Human Resources before your
31-day window expires. We do not have annual open enrollment, therefore you
may have to wait for some time – maybe years – before you can enroll in the
future. All enrollment requests will be reviewed on an
individual basis to ensure the enrollment is “on account of and consistent with”
the event.
Qualifying Events
(click here to find out about the life events
that may affect your benefits)
The following events may allow you to enroll for
the first time and/or to add eligible dependents.
Events that change
marital status. The appropriate legal document must be provided.
Death of a spouse
Events that change
the number of dependents
Adoption
Attaining legal custody of a child
Non-voluntary loss of other
coverage by the enrollee, dependents,
or spouse.
You are covered under another employer’s COBRA plan and the continuation
period (usually 18 months) is exhausted.
Spouse loses eligibility for coverage through their employer due to
termination, leave of absence or reduction in hours.
Employer contributions toward the other coverage are terminated.
Loss of public-assistance coverage such as Medicaid, ARKids1st.
Change in UAMS employment
status that now makes you eligible for coverage
Transfer from temporary job to regular job
Transfer from benefits-ineligible status (such as student worker or
graduate assistant) to benefits-eligible status
Increase percent of time worked from less than 50% to 50% or higher.
Change from part-time (at least 50%) to 100% full-time work status.
Court decree
requires you, the employee and the parent, to provide coverage for your
dependent children. The appropriate legal document must be provided.
Your spouse and/or children who were living
outside the country are moving to the U.S.A.
The appropriate travel or immigration documents must be provided to show
data of entry into the U.S.A.
Children should be added to your Dental
insurance when they reach age 2. Our plan actually allows a child to be
added at any time until the first of the month following their 3rd
birthday. But if you pre-tax your premium, the IRS doesn’t allow you add
your child at any time other than the end of the year. If your child
turns 3 mid-year and you wait until the end of the year to add him or her,
you will not be able to because of IRS pre-tax regulations. Click
here
for more details on adding a child to your Dental plan.
Not Not A Qualifying Event
The following are NOT qualifying events:
Change of benefits or premium costs under spouse’s plan, causing UAMS’
plan to now be the “better” coverage
Separation from spouse that is not legal
You now have health problems but waived coverage when you were first
hired or otherwise became eligible.
If you leave UAMS and are rehired within
31 days, this is considered a “reinstatement”. Your termination date will
be deleted out of SAP (our computer system) and your coverage will be
restored with no break in coverage.
Additional information about other events that would affect your benefits:
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