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Qualifying Events
Eligible Expenses Qualifying Events



The IRS will only allow a change to the original election for certain qualifying events.  They are:

  • Change in the Employee's legal marital status
  • Change in the number of dependents
  • Change in employment status that affects benefit eligibility
  • Dependent satisfies or ceases to satisfy dependent eligibility requirements
  • A change in residence that affects the Employee's eligibility for coverage
  • Commencement or termination of adoption proceedings
  • HIPPA Special Enrollment Rights
  • Judgements, Decrees or Orders
  • COBRA Events
  • Entitlement to Medicare or Medicaid
  • Significant changes in cost
  • Significant curtailment of coverage
  • Significant changes in coverage under the plan of the Employer of a spouse or dependent
  • Addition or elimination of a benefit package option
  • Separation from service
  • FMLA Leave




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Last modified: December 18, 2010