Mid Year Changes

Making Mid Year Changes

You are only permitted to make changes to your medical, dental, and vision benefits outside of the Open Enrollment period if you have a qualified change in status as defined by the IRS. Changes must be consistent with the qualifying event. Generally, you may add or remove dependents from your
benefits, as well as add, drop or change coverage. Please note that you must notify the PUSD Insurance Benefits Department of the “qualifying event” within 30 days of event, and proof is required. All changes must be requested through the BenefitBridge Portal. 

Examples include:

• Marriage, divorce or legal separation
• Birth or adoption of a child
• Death of a dependent
• You or your spouse’s/unregistered domestic
partner’s loss or gain of coverage through our
organization or another employer
• Unpaid leave of absence for you or your
spouse/unregistered domestic partner causing a
loss of other group coverage
• Child’s loss of dependent status, such as attainment
of maximum age
• Change in residence affecting eligibility or access
• Change in employment status where you have a
reduction in hours to an average below 30 hours
of service per week, but continue to be eligible for
benefits, and you intend to enroll in another plan
that provides Minimum Essential Coverage that is
effective no later than the first day of the second
month following the date of revocation of your
employer sponsored coverage
• You enroll, or intend to enroll, in a Qualified health
Plan (QHP) through the State Marketplace (i.e.
Exchange) and it is effective no later than the day
immediately following the revocation of your
employer sponsored coverage
 

If your change during the year is a result of the loss of eligibility or enrollment in Medicaid, Medicare or state health insurance programs, you must submit the request for change within 60 days. Mid-year enrollments or changes to life insurance, flexible spending accounts, and other voluntary plans is not allowable.

2023 Benefits and Insurance