14 ABOUT YOUR BENEFITS Loss of dependent (Death, Loss of Eligibility Due to Divorce or Legal Separation) Benefit Plan Description Medical, Vision, and/or Dental Employee must stop coverage only for the dependent who loses eligibility. Child Life Insurance Must drop coverage for lost dependent. Health Care Spending Account (HCSA) Employee may decrease or stop election. Dependent Care Spending Account (DCSA) Employee may decrease or stop election. Gain or change in employment status of employee (Non-benefited, Casual to PT or FT) Benefit Plan Description Medical, Vision, and/or Dental Employee may add coverage for employee, spouse, or dependents, may change to higher cost medical plan. Long-term Disability Employee may add coverage if evidence of insurability is met. Employee Life & AD&D* Employee may add or increase coverage for employee. Spouse Life Insurance Employee may add or increase coverage for spouse. Child Life Insurance Employee may add or increase coverage for dependents. Health Care Spending Account (HCSA) Employee may add or increase coverage for employee, spouse, and/or dependents. Dependent Care Spending Account (DCSA) Employee may add or increase coverage for employee, spouse, and/or dependents. Gain or change in employment status of employee (FT to PT, PT to FT) Benefit Plan Description Medical, Vision, and/or Dental If FT to PT, may stop coverage, or change to a lower cost plan. If PT to FT, may enroll, or change to a higher cost plan. Dependent Care Spending Account (DCSA) Employee may decrease or stop election. Spouse/RDP**, dependent gain in employment or other change in employment that affects benefit status Benefit Plan Description Medical, Vision, and/or Dental May cancel or decrease election for employee, spouse, or dependent coverage if added to dependent’s coverage. Employee Life & AD&D* May increase or decrease coverage. Spouse Life Insurance Eligible to elect or drop coverage. Child Life Insurance Eligible to elect or drop coverage. Health Care Spending Account (HCSA) May cancel or decrease election for employee, spouse, or dependent coverage if added to dependent’s coverage. Dependent Care Spending Account (DCSA) May elect or increase election if spouse did not previously work. May cancel election if spouse or dependent is added to new spouse or dependent coverage. *Accidental Death & Dismemberment **Registered Domestic Partner, must provide documentation of RDP status effective prior to the date of Qualifying Life Event. Qualifying Life Events and Status Changes (continued) Gain or loss of a registered domestic partnership Benefit Plan Description Medical, Vision, and/or Dental Eligible to add during Open Enrollment only. Benefits stop when registered domestic partnership ends.
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