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    Participating in the Plans
        Eligibility
        Enrollment
         Initial Enrollment
         Annual Open Enrollment
        
Midyear Enrollment or Status Changes
        Cost of Your Coverage
        When Coverage Begins
        When Coverage Ends
        Continuing Coverage on a Self-Pay Basis
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Midyear Enrollment or Status Changes
Normally you may change your benefit elections — your plan choices and who you enroll — only during annual open enrollment. However, certain changes in your family or employment status qualify you to make mid-year benefit changes. A "qualifying status change" occurs when you:
  • Get married
  • Establish a domestic partnership that meets the Trust's requirements
  • Divorce, legally separate or end a domestic partnership
  • Lose a spouse or domestic partner through his or her death
  • Acquire a new dependent child through:
    • Your marriage or creation of a domestic partnership
    • Birth, adoption or placement for adoption
    • Assumption of legal guardianship (certain requirements apply)
  • Lose a dependent child when:
    • You divorce or dissolve a domestic partnership
    • The child reaches age 26 or otherwise ceases to meet the definition of an eligible dependent
    • The child dies
  • Become disabled
  • Have a change in your or your spouse's/domestic partner's employment status that affects you, your spouse's/domestic partner's or your children's benefits eligibility—for example, you or your spouse/domestic partner:
    • Start employment
    • Change from full-time to part-time or vice versa
    • Resign or are laid off
    • Retire
  • Take a leave of absence (see "Unpaid Leave" for details)
  • Gain or lose eligibility for Medicaid or CHIP coverage or become newly eligible for state premium assistance
  • Lose other health care coverage (for example, through your spouse's employer) or the employer's contribution towards it.
When you experience any of these qualifying status changes, you may make related enrollment changes.
To make changes, submit a Benefits Enrollment Form to District HR/Benefits before the next payroll cutoff date. To find out the next cutoff date, contact District HR/Benefits at (503) 916-3544 as soon as possible.
 
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