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Medicaid or Medicare Eligibility
A change in eligibility for Medicaid, Medicare, or other federal/state
agency benefits will allow you to make changes to your benefit plans
outside of Open Enrollment. The eligibility change can be experienced
by one of the following:
- Employee
- Spouse
- Dependent
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To make changes to any of the plans listed immediately below, you will need to complete  the Change of Status form and  the subsequent personalized benefit enrollment form. Step-by-step instructions appear on the respective plan pages below. You must make the change within 60 days of becoming eligible for Medicaid
or Medicare. |
| Dental plan |
- Add or discontinue coverage for the affected individual(s)
(yourself, your spouse or your dependents).
- Enroll in or drop coverage if the employee had the change
in eligibility.
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| Medical plan |
- Add or discontinue coverage for the affected individual(s)
(yourself, your spouse or your dependents).
- Enroll in or drop coverage if the employee had the change
in eligibility.
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| Tax Saver Benefit |
| Health Care: |
- Add, increase or decrease coverage.
(Consistency rule is
satisfied if change corresponds with change of status that
affects either eligibility for coverage under Plan or eligibility
of expenses under applicable IRS regulations.)
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