Qualifying Life Events
If your family status has recently changed (i.e. marriage, divorce, addition of a child, etc.), this may be considered a Qualifying Life Event, allowing you to update your benefits outside of the open enrollment period.
Change in Status
Use the examples on this page to help you determine whether your change in life status is considered a Qualifying Life Event.
Remember to: 1) request updates to your benefits within 31 days of the Qualifying Life Event, AND 2) provide evidence of the event within 30 days.
Updates to your benefits will not be accepted if you miss the above deadlines.
If you process a life event, you will be asked to provide documentation of the event, such as a birth certificate or marriage license.
You have a change in your legal marital status, including marriage, legal separation, divorce, annulment or death of a spouse.
- Enroll and add your new spouse or domestic partner and children who meet the definition of a dependent under the Program. Download and complete the Domestic Partner Affidavit to begin the verification process.
- Drop your coverage and coverage for any dependent children that your spouse/domestic partner is adding to their coverage.
- Drop coverage for your spouse/domestic partner and any children that no longer meet the definition of a dependent under the Program. Download and complete the Domestic Partner Termination Form to begin the process.
Your number of dependent child(ren) changes due to birth, death, adoption or placement for adoption.
- Enroll and add your new child(ren).
- Drop coverage for your child(ren) who no longer meet the definition of a dependent under the Program.
There is a change in your dependent's eligibility for coverage under the Program due to attainment of age.
- Discontinue coverage for your child(ren) who no longer meets the definition of a dependent under the Program. For example, a child who attains age 26.
You, your spouse/domestic partner or dependent child experience a change in employment status, including termination, commencement of employment, commencement of, or return from, an unpaid leave of absence and any other change in employment status that affects eligibility.
- Add your spouse/domestic partner and/or any children that meet the definition of a dependent under the Program when your spouse/domestic partner and/or child loses employment/medical coverage.
- Discontinue coverage for yourself, your spouse/domestic partner, and/or any children you are currently covering under the Program when your spouse/domestic partner or child initially obtains employment/medical coverage.
You move out of an Hawaii Kaiser HMO service area or a Cigna Dental Care (CDC) Dental Plan network service area.
- Elect a different medical (or dental) coverage option under the Program for the remainder of the plan year.
You involuntarily lost your alternative medical coverage, if you previously waived medical coverage under the Program.
- Elect coverage for yourself and eligible dependents under the Medical Options and/or Dental Options for the remainder of the plan year.
Your spouse/domestic partner's open enrollment period.
- Add coverage for yourself, your spouse/domestic partner and any dependent children during your spouse/domestic partner’s annual open enrollment period.
- Discontinue coverage for yourself, your spouse/domestic partner and any dependent children during your spouse/domestic partner’s annual open enrollment period.
You have a Medical Child Support Order (QMCSO).
- Add a dependent to coverage under a valid QMCSO.
- Drop a dependent because the dependent has other coverage through a valid QMCSO.
You become eligible for Medicare or Medicaid or you lose your Medicare or Medicaid coverage.
- Add Hertz medical coverage.
- Drop Hertz medical coverage.