Qualified Life Event (Qle) Divorce, Legal Separation, Annulment Process
QUALIFIED LIFE EVENT (QLE) DIVORCE, LEGAL SEPARATION, ANNULMENT PROCESS If you experience a divorce, legal separation, or annulment, your former spouse may no longer be considered eligible to participate in any of the plan options. ● Divorce or annulment: Your former spouse must be removed from the plans regardless of a court order to continue their coverage. ● Legal separation: Your spouse is considered eligible to continue participation in the plans because you are still married. If the notice of legal separation documentation states that coverage for your spouse must continue, you cannot remove coverage until the divorce is finalized. If there is no requirement for healthcare continuation coverage, then you may choose to remove your spouse from coverage. Is the Human Resources Department of my agency responsible for informing the ADOA Benefits Services Division of my divorce? No. It is the responsibility of the employee to inform their employer of changes for the purposes of benefits within 31 days of the event. A supervisor or benefit liaison is responsible for providing you with the information you need to notify the Benefit Services Division in a timely manner. Benefit Services Division may report any misrepresentation of benefit eligibility to an employee’s agency, which could result in disciplinary action up to and including termination. How long do I have to make a change? You must notify the Benefit Services Division, in writing, within 31 days of your qualifying event. If notification is received after the 31 days, benefit election changes will be made that could result in retroactive termination of coverage. Any claims incurred after the 31 days will become the responsibility of the employee to pay.
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