��ϱ��

A qualifying life event is an increase or decrease in dependents or a change in immediate family’s insurance eligibility status. QLEs must be submitted within 31 calendar days of the qualifying event date.

Qualifying Event	Supporting Documentation	Dependent Documentation
Marriage	Marriage license	Birth certificates are required if adding spouse’s children as dependents.
Death	Death certificate	No additional documentation required.
Divorce	Certified copy of divorce decree	Birth certificates are required if adding children not currently enrolled in benefits.
Adoption	Placement for adoption paperwork or Legal documentation of the adoption	No additional documentation required.
Birth	Birth certificate or Verification of birth facts issued by hospital	No additional documentation required.
Change of spouse employment	Proof of enrollment or termination of benefit coverage from spouse’s employer. Proof must contain effective or termination dates of coverage, type of coverage (medical, dental, vision), and the names of the dependents affected.	Adding spouse – Marriage license and a bill under spouse’s name or first page of current year’s tax return Adding children – Birth certificate or first page of current year’s tax return
Loss or gain of coverage Other than employment change Voluntary cancellation of COBRA is not an event.	Proof of enrollment or termination of benefit coverage, e.g., Medicare or Medicaid. Proof must contain effective or termination dates of coverage, type of coverage (medical, dental, vision), and the names of the dependents affected.	Adding spouse – Marriage license and a bill under spouse’s name or first page of current year’s tax return Adding children – Birth certificate or first page of current year’s tax return
Leave of absence or return from inactive status	HR status updates – internal documentation