15 ABOUT YOUR BENEFITS Termination of employment for spouse/RDP**/dependent Benefit Plan Description Medical, Vision, and/or Dental May enroll any eligible dependent not previously covered. 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 enroll or increase contributions if health coverage is lost for affected dependent. Dependent Care Spending Account (DCSA) May enroll or increase if spouse or dependent loses eligibility for DCSA. May stop participation if spouse’s loss of employment leaves dependents ineligible. Dependent gains eligibility under employer’s plan Benefit Plan Description Medical, Vision, and/or Dental May enroll any eligible dependent not previously covered. Child Life Insurance Eligible to add for new dependent. Health Care Spending Account (HCSA) May enroll or increase contributions to take into account expenses of affected dependent. Dependent Care Spending Account (DCSA) May enroll or increase contributions to take into account expenses of affected dependent. Dependent no longer meets eligibility requirements (attains specified age) Benefit Plan Description Medical, Vision, and/or Dental Employee must stop coverage only for the affected dependent. Child Life Insurance Must cancel coverage for affected dependent. Health Care Spending Account (HCSA) May decrease contributions to take into account expenses of affected dependent. Dependent Care Spending Account (DCSA) May decrease contributions to take into account expenses of affected dependent. Termination of employment for employee Benefit Plan Description Medical, Vision, and/or Dental Coverage continues through the end of the month. Eligible for COBRA continuation. Long-term Disability Coverage continues through the end of the month. May be able to convert policy. Employee Life & AD&D* Coverage continues through the end of the month. May be able to convert policy. Spouse Life Insurance Coverage continues through the end of the month. May be able to convert policy. Child Life Insurance Coverage continues through the end of the month. May be able to convert policy. Health Care Spending Account (HCSA) Coverage continues through the end of the month. Eligible for COBRA continuation. Dependent Care Spending Account (DCSA) Coverage continues through the end of the month. *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)
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