/pay/,/pay/life-events/,/pay/life-events/life-events-uwmf/,/pay/life-events/life-events-uwmf/loss-or-gain-of-other-coverage/,/pay/life-events/life-events-uwmf/loss-or-gain-of-other-coverage/benefit-information/,

/pay/life-events/life-events-uwmf/loss-or-gain-of-other-coverage/benefit-information/

201705125

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UWHC,UWMF,

Benefits,

Pay & Benefits,Life Events,Life Events (UWMF),Loss or Gain of Other Coverage

Benefit Information

Benefit Information - Pay & Benefits, Life Events, Life Events (UWMF), Loss or Gain of Other Coverage

Focus

Important Deadline

You have 30 days from the date of loss/gain of other coverage to make changes to the appropriate benefits impacted by the qualifying event. Forms must be completed, submitted to, and received by HR:

If you do not make these changes within the 30-day deadline, you must wait until the next available Open Enrollment period to make changes to your benefits enrollment with the changes effective on January 1.

Health Insurance

If you wish to change your current medical election (newly enroll as a result of loss of other coverage or cancel current coverage as a result of gain of other coverage), you will need to submit a health insurance enrollment form to Human Resources.

In addition, you must also submit proof of gain/loss of other coverage to Human Resources. The proof must list your name and all dependents impacted by the change, the type of coverage that you’re gaining/losing, and the effective date of the change.

If newly enrolling, coverage through UWMF will begin the day after loss of other coverage. If canceling current coverage through UWMF, your coverage will terminate the end of the month in which your new coverage is effective. If your new coverage is effective on the first of the month, coverage through UWMF will terminate end of the prior month.

The enrollment form and proof needs to be completed and submitted to Human Resources within 30 days of the gain/loss of other coverage date.

Dental Insurance

If you wish to change your current dental election (newly enroll as a result of loss of other coverage or cancel current coverage as a result of gain of other coverage), you will need to submit a dental insurance enrollment form to Human Resources.

In addition, you must also submit proof of gain/loss of other coverage to Human Resources. The proof must list your name and all dependents impacted by the change, the type of coverage that you’re gaining/losing, and the effective date of the change.

If newly enrolling, coverage through UWMF will begin the day after loss of other coverage. If canceling current coverage through UWMF, your coverage will terminate the end of the month in which your new coverage is effective. If your new coverage is effective on the first of the month, coverage through UWMF will terminate end of the prior month.

The enrollment form and proof needs to be completed and submitted to Human Resources within 30 days of the gain/loss of other coverage date.

Flexible Spending Account

If you wish to update your enrollment with our flexible spending plan due to a qualifying event (gain or loss of coverage), please submit the following form to Human Resources within 30 days of the qualifying event date.