Reso 2018-2774 - Laserfiche WebLink

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coverage. At that time, dependents will be offered continuation coverage under the provisions of the Consolidated Omnibus Budget Reconciliation Act (COBRA). g. Dependents may be added mid-year or outside of the annual benefits open enrollment period if there is a "Qualifying Life Event". Qualifying Life Events are defined by the Internal Revenue Service (IRS) and include: i. Change in Retiree's legal status including marriage, divorce, and death of spouse/domestic partner. ii. Change in the number of dependents the Retiree has for federal income tax purposes due to events such as birth, adoption, placement for adoption or death. iii. The termination or commencement of employment of the Retiree's spouse/domestic partner or other enrolled dependent. iv. An event that causes the Retiree's dependent child to satisfy or cease to satisfy the requirements for coverage due to attainment of age. v. A court order or judgment, decree or change in legal custody including a qualified health child support order. vi. Entitlement to or loss of Medicare eligibility for Retiree and/or dependents. vii. Entitlement to or loss of Medicaid/Children's Health Insurance Program (CHIP) eligibility (60 days allowed to exercise this HIPAA Special Enrollment Rights). viii. Differences in the open enrollment periods between the City and another employer affecting the Retiree's spouse or dependent. h. Requests to add a new dependent must be received by the Human Resources Department within 30 days of the event (60 days for newborns/adoptions/ placement for adoption/entitlement to or loss of Medicaid/CHIP). If the supporting documentation (example marriage certificate, birth certificate etc.) is not readily available, the Retiree must provide it as soon as it becomes available. The types of documentation required to support the change in status will be determined by Human CODING:Words stricken are deletions,words underlined are additions. 503-1 Retirement Benefits Page 5 of 6