Making a Change
QUALIFYING LIFE EVENT
If you have a qualifying life event change, you may be able to change your benefits before the next Open Enrollment. You must notify Human Resources within 30 days of the change.
Change in residence if change affects
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• Marriage, annulment, legal separation, or divorce.
benefit options.
Medical Child Support Order.
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Birth or adoption.
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Entitlement to Medicare or Medicaid.
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Death of spouse or child.
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• Loss of coverage under a state Children's Health Insurance Program (CHIP) or Medicaid.*
Change in dependent’s eligibility
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status (e.g., turns 26 years old).
Reduction in hours.
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Change in employment status by you or
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your spouse.
Enrollment in Marketplace/Exchange.
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Contact Human Resources for a complete explanation of qualifying life event changes.
You must take action in Paycom within 30 days after your qualifying event date to add, change, or drop coverage. You must submit supporting documentation within 30 days from the date of the event. If your documentation is not submitted within 30 days from the date of the event and/or does not support the change, your request will be denied. Benefits are effective as of the qualifying event date. For a birth or adoption, benefits are effective date of event.
*Must request enrollment within 60 days of the loss of coverage
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