Qualifying Change in Family Status

 

In order to make changes to your health, dental, vision, Flexible Spending Accounts, or the Pre-tax Insurance Premium Only Plan, you must do so within 31 days of the qualifying change in family status.
 
Both the Flexible Spending Accounts (FSA) and the Pre-tax Insurance Premium Only Plan (POP) are governed by IRS guidelines.  Once you enroll in either or both programs, you cannot make changes to these plans unless you experience a qualifying change in family status event as defined by the IRS.  The requested change due to a qualifying event (e.g., marriage and adding a spouse; adding a dependent to coverage who is now a full-time student).  Qualifying events include the following:
 
  • Change in job status of spouse (reduction of hours or termination) resulting in loss of group coverage
  • Marriage
  • Divorce or legal separation, resulting in loss of coverage
  • Death of a spouse or dependent, resulting in loss of group coverage
  • Birth of a child, a court approved adoption or legal guardianship
  • Any other circumstance where the individual had other coverage and loses it due to circumstances beyond their control must be evaluated by SJC for eligibility
  • Spouse going through Open Enrollment is NOT a change of status situation