Enroll in benefits due to a qualifying life event

Updated on March 22nd, 2024

If a team member experiences a qualifying life event, such as a birth, adoption, marriage, divorce, death, or gain/loss of coverage, may be able to add, drop or change coverage. The Benefit Change Form  must be completed and returned to Human Resources within 31 days of the status change effective date.  You may be required to provide documentation based on the type of event, below is a summary of what may be required.  

Birth Birth Certificate (hospital provided copy is acceptable)
Adoption
  • Amended birth certificate naming team member as parent; OR
  • Finalized copy of official adoption papers; OR
  • Copy of official papers showing the anticipation of adoption
Step-Child
  • Birth Certificate; AND
  • Proof of Marriage to the natural parent (copy of most recent Federal Tax Return showing spouse, front and signature pages only; or a copy of the Marriage Certificate and proof of joint ownership dated within the last 60 days)
Death of dependent
Certified copy of death certificate
Divorce or Legal Separation Copy of the finalized divorce decree
Gaining other coverage (removing your Carle insurance plan)

Supporting documentation from the employer or insurance carrier that states who is gaining coverage, what coverage they are gaining, and the effective date of when the coverage begins. 

Losing other coverage (adding Carle insurance plan)
Supporting documentation from the employer or insurance carrier that states who is losing coverage, what coverage they are losing, and the effective date of when the coverage ends.