Legal Separation

EVENT DESCRIPTION: Employee must terminate coverage for former spouse and step-children.

WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from date of legal separation. If EC-1/EC-1H is filed more than 45 days after date of legal separation, employee shall be responsible for paying the employer contribution premiums retroactive to the legal separation date.

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H*: Court document establishing legal separation, including any pages regarding health benefits to children

EFFECTIVE DATE: First day of the pay period following the legal separation

CHANGES ALLOWED TO PLANS OR TO ENROLL IN PLANS OR ADD DEPENDENTS?: No