Mid-year Enrollment Changes The one thing you can always count on in life is change. You get married or have a baby. Your spouse gets a new job. Whatever the events in your life, certain changes can affect your benefits. This section and the charts on the following pages provide information on Qualifying Life Events (QLEs) and the associated benefit changes allowed. After your initial enrollment, you may not make changes or add/remove dependents until the next Open Enrollment or Qualifying Life Event. Documentation of a Qualifying Life Event will be required in order for you to make allowable changes to your benefits. Examples of QLEs include, but are not limited to: • Marriage or divorce • Termination of a registered domestic partnership • Birth, adoption, or legal custody change of a child • Death of a spouse, registered domestic partner, or dependent • Change in your eligibility status; i.e., full-time to part-time status or non-benefited to benefit-eligible • Change in your spouse/RDP's employment status that affects benefit coverage • Involuntary loss of other group health coverage • Move primary residence outside of the service area • Qualified Medical Child Support Order (QMCSO) Report Eligibility Changes to Medicaid (Medi-Cal) or Children's Health Insurance Program (CHIP) within 60 days Call the Scripps HR Service Center at 858-678-MyHR (6947) or email hr@scrippshealth.org to report all Qualifying Life Events (including newborns) which affect your benefit elections 60 days after the loss of coverage or determination of eligibility for premium assistance under a state Children's Health Insurance Program (CHIP) or Medicaid (MediCal). If you miss the deadline, you must wait until the next Open Enrollment period to make any changes to your coverage. ABOUT YOUR BENEFITS Any coverage changes must be made within 31 days of the QLE. To report your QLE and request access to the benefits web enrollment system to make benefit changes, call the HR Service Center at 858-678-MyHR (6947) or email hr@scrippshealth.org. Changes will be made effective the first day of the month following the date of your QLE except for medical coverage for newborns or newly adopted children which begins on the date of birth or adoption. 12
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