Changes to Enrollment

There is an annual open enrollment period each year (August), during which you can make new benefit elections for the following October 1 effective date. Once you make your benefit elections, you cannot change them during the year unless you experience a qualified change in family status as defined by the IRS. Examples include, but are not limited to the following:

• marriage, divorce, or annulment
• birth or adoption of a child, legal guardianship
• a qualified medical child support order
• death of a spouse or child
• change in your dependent's eligibility status
• loss of coverage from another health plan

Coverage is NOT automatic. If you experience a change in family status, you have 30 days to update your coverage. Please contact Risk Management immediately to complete the appropriate election form as needed. If you do not update your coverage within 30 days from the family status change, you must wait until the next annual enrollment period to update your coverage.

Member Change Forms

• CVT Member Change Form
• SISC Member Change Form