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Change of Status Summary - a brief description on change of status regulations. What is a Change of Family Status?A qualified “change of family status” results from changes in a legal marriage, divorce, annulment, or legal separation, death, birth, adoption, or legal custody, a child becomes or is no longer an eligible dependent, and changes in employment status. If an employee or qualified dependent has any of these changes occur, they may be eligible to make changes in their benefit elections. Any Flex Benefit changes must be consistent with the Change of Family Status and be supported by acceptable documentation. The change of family status form, with the appropriate supporting documentation, must be received in the MCCCD Employee Benefits Department within thirty (30) days from the date the qualifying event takes place. Changes will become effective on the first day of the month following the date of the change. Note: Changes between plans such as Buy-Up to Core and/or MetLife to Assurant may only be done during Open Enrollment. Non-Eligible Dependents and Change of Family Status RuleOnly qualified dependents are eligible for coverage under your benefit plans provided by the District. Qualified dependents include your spouse or domestic partner and your unmarried children, stepchildren and adopted children under age 19 or until the age of 24 if they are a full time student. Excluded from the benefit coverage provided by the District are brothers, sisters, parents, grandparents, grandchildren, aunts, uncles, ex-spouses, ex-partners, children of ex-spouses and ex-partners. However, medical support orders for children will qualify for eligibility. It is a fraudulent practice to add ineligible dependents to the District provided benefit coverage and disciplinary action will be taken, up to and including termination, should this occur. Insurance fraud is generally defined as the “intentional misrepresentation of material facts and circumstances to an insurance company to obtain payment that would not otherwise be made.” It is fraudulent to fail to notify the Benefits office of a change in status or to misrepresent dependents in any manner. Disciplinary action will be taken, up to and including termination, should this occur. Request for Verification of Dependent EligibilityThe insurance company will require proof of the continuing eligibility of children age 19 or older. If the proof of eligibility is not received within 30 days from the date of the request, your dependent will be removed from your policy immediately. Full-time student requirement: Until the child reaches age 24, the child will continue to be eligible if he/she is continuously attending an accredited institution as a full-time student (minimum of 12 credit hours undergraduate/minimum of 8 credit hours graduate and above). A copy of the child's class schedule is required for proof of eligibility. See your Medical Plan Document for further requirements under the medical plan.
Last modified: October 26, 2007 |
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