Benefits Change Connection

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

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 30 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.

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.

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.

 

 

Forms and Publications

Change of Status form  

See Also: Selecting a Medical Plan