SPECIAL ENROLLMENT: WHEN OPEN ENROLLMENT ENDS AND I EXPERIENCE A MAJOR LIFE EVENT…
= Q: What is a qualifying event?
A: A qualifying event is a special enrollment that allows an employee to
change an enrollment election (i.e. add or delete dependents, change level of
coverage) for yourself and/or your dependents. You will be required to provide proof of the life event and the date it
= Q: What types of actions would be considered a
or Adoption of a child by the employee
ü Termination of employment (or commencement of employment) of the employee’s spouse
ü The spouse has a significant change in employment status (i.e. full-time status to part-time status, etc…)
of the enrolled family member
ü You waive medical coverage for yourself/family because of other health-care coverage…and you lose that other coverage for special reasons
ü Your dependent child ‘aged-out’ of the plan and/or obtains their own plan (refer to your contract as applicable)
much time do I have to notify Human Resources that I have experienced a
qualifying event for a special enrollment?
A: You must request enrollment within 31 days after your or your dependents’ other coverage ends. You must request enrollment within 31
days after the marriage, birth, adoption, death, etc…
= Q: Beyond benefit enrollment changes…would there be any other changes that I need to consider?
A: Don’t forget that you may also need to change your marital status, address, beneficiary(ries), tax withholding, direct deposit, and/or name change for payroll/pensions.
Change of name/address/phone number
forms may be obtained online in the HR Forms link or at the Human Resources
counter. Payroll/tax forms are available
from the payroll office. Beneficiaries
can be changed via the NJ Pensions and Benefits website via MBOS.
Horizon Membership Services: 1-800-355-2583; Medical Group number: 86002
Horizon Dental: 17-86002
Eastern Dental: 1-800-982-5529; Group
Delta Dental: 1-800-452-9310; Group number: 07078
Vision Service Plan (VSP): 1-800-516-6268; Group number: 12150434