Virginia Department of Human Resource Management
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Employee Benefits
Health Benefits
Qualifying Mid-Year Events
Health Benefits
Qualifying Mid-Year Event
(Contact your Benefits Administrator or Agency Human Resource Office for additional information)
Adding Family Members To Coverage
Marriage (certified marriage certificate)
Birth or Adoption (birth certificate/hospital announcement or adoption agreement)
Judgment, Decree, or Order to Add Child (court order)
Lost eligibility Under Governmental Plan (government documentation)
Lost eligibility Under Medicare or Medicaid (government documentation)
Spouse or Child Lost Eligibility Under Their Employers Plan (employer documentation)
Removing Family Members From Coverage
Divorce (divorce decree)
Death of Spouse (documentation validating death)
Death of Child (documentation validating death)
Child Covered Under Plan Lost Eligibility (documentation to support)
Judgment, Decree or Order to Remove Child (court order)
Gained Eligibility Under Medicare or Medicaid (government documentation)
Spouse or Child Gained Eligibility Under Their Employers Plan (employer documentation)
Other Events
Employment Change (Full-time to Part-time)
Employment Change (Part-time to Full-time)
Unpaid Leave Began
Unpaid Leave Ended
Dependent Care Cost or Coverage Change (documentation from dependent care provider)
HIPAA Special Enrollment Due to Loss of Other Coverage (HIPAA certificate)
Move Affecting Eligibility for Health Care Plan (agency validates move)
Other Employers Open Enrollment or Plan Change (employer documentation)
Enrollment in a Marketplace Exchange Health Plan (Documentation of the Marketplace coverage enrollment and the effective date of coverage)
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