Qualifying Events

Demographic Changes

Posted on May 11, 2020 in

(Watch video on Demographic Changes) EVENT DESCRIPTION: Making demographic changes such as address changes or legal name changes WHEN ADDRESS CHANGE FORM OR EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Employees are responsible for notifying the EUTF for any demographic changes such as address changes or legal name changes as soon as possible. DOCUMENTATION ...
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Termination of Domestic Partnership

Posted on Oct 29, 2015 in

EVENT DESCRIPTION: Employee must terminate domestic partner and domestic partner’s dependents WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days of termination of partnership, however, it will be accepted and processed regardless of when form is received. DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Declaration of Termination of Domestic Partnership EFFECTIVE DATE: ...
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Civil Union Partner

Posted on Oct 28, 2015 in

EVENT DESCRIPTION: Employee wishes to enroll new civil union partner in EUTF plans WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days of civil union DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Civil Union certification (on-line proof accepted), Affidavit of Dependency and Social Security Number submitted within 45 days from the civil ...
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Domestic Partnership

Posted on Oct 28, 2015 in

(Watch video on Domestic Partnership Enrollment) EVENT DESCRIPTION: Employee wishes to enroll new domestic partner in EUTF plans WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days of date of notarized signature (event date is considered date of notarization) DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Notarized Declaration of Domestic Partnership, Affidavit ...
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New Hire/Newly Eligible Employee

Posted on Oct 28, 2015 in

EVENT DESCRIPTION: New employee wishes to enroll in EUTF plans WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from new hire/newly eligible start date DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Marriage Certificate, Civil Union Certificate or Domestic Partnership Forms, if enrolling a spouse/DP; Social Security Number; Birth certificate for dependent ...
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Newly Eligible Student

Posted on Oct 28, 2015 in

EVENT DESCRIPTION: Employee wishes to add unmarried dependent child in dental or vision plan because child became a full-time student and is between the ages of 19 through 23 WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from school start date DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Student certification from ...
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Marriage

Posted on Oct 28, 2015 in

EVENT DESCRIPTION: Employee wishes to enroll new spouse in EUTF plans WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from date of marriage DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Marriage certificate and Social Security Number. Birth certificate, student certification (a letter from the school registrar’s office or certificate from the ...
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Leave of Absence Without Pay (LWOP)

Posted on Oct 28, 2015 in

(Watch video on LWOP) EVENT DESCRIPTION: For leave of absence without pay lasting more than 30 days, employee may waive all plans excluding life insurance or continue coverage by paying his/her share of premiums. WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from beginning of a LWOP to waive plans. To ...
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Loss of Coverage

Posted on Oct 28, 2015 in

(Watch video on Loss of Coverage) EVENT DESCRIPTION: Employee and/or dependent loses health coverage and wishes to enroll in EUTF or HSTA VB plans WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days of loss of coverage DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H*: Letter from previous employer or carrier detailing type ...
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Legal Separation

Posted on Oct 28, 2015 in

EVENT DESCRIPTION: Employee may terminate coverage for spouse and step-children. WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from date of legal separation. DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Court documents establishing legal separation along with the signature page within 45 days from separation date. EFFECTIVE DATE: If submitted within ...
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