During your employment, you may update or change your benefits when you experience a qualifying change in your family or employment, or during the annual open enrollment period.
30 Day Deadline
When you experience a qualified life event, you have 30 days from the date of the event to submit changes to your benefit elections and provide the required supporting documentation. If more than 30 days have elapsed since the date of the qualifying life event, you will not be permitted to make benefit election changes until annual enrollment or you experience another qualifying life event. Benefit changes must be consistent with the life event
HSHS provides a special enrollment opportunity if you or your eligible dependents either:
- Lose Medicaid or Children’s Health Insurance Program (CHIP) coverage because you are no longer eligible, or
- Become eligible for a state’s premium assistance program under Medicaid or CHIP.
For these enrollment opportunities, you will have 60 days – instead of 30 – from the date of the Medicaid/CHIP eligibility change to request enrollment in HSHS Medical Plan benefits.
Qualifying Life Events
Based on IRS rules, you can generally make changes during the year only if you have a qualifying change in your family or employment status, for example due to a marriage, birth, or change in job or location. Benefit changes must be consistent with the eligible life event and be completed within 30 days of the life event. Please see the HSHS Summary Plan Description for more information.
