Integrated Service Center

Life Events

Last updated Monday, May 10, 2021

Certain life events allow you to change your medical and/or dental coverage. The ISC must receive your benefit elections within 60 days from the date of the event (your “special open enrollment” window), and any enrollment changes must correspond with your life event.

Qualified life events and how to submit your benefit elections are summarized below; for details about a life event, select it from the list in the left sidebar.

Events that qualify are defined by the state in the Washington Administrative Code 182-08-198.

Disclaimer
If the information on this page conflicts in any way with HCA documentation, the HCA documentation governs.


Marriage and Start of Domestic Partnership

You acquire a new dependent(s) due to marriage or start of a state-registered domestic partnership.

Enrollment changes you can make within 60 days of the life event: How to change your Election(s)
  • Add dependents
  • Enroll/change or decline (waive) medical/dental elections for you and your dependents
    • If you choose to decline medical coverage, you must be enrolled in other employer-based group medical coverage, TRICARE, or Medicare. Refer to the Gain of Other Coverage event, below, for information about waiving medical coverage via a paper form.
  • Enroll/increase/decrease Medical FSA and DCAP
  • Change Tobacco Use Attestation
  • Change Spousal Surcharge Attestation
  • To drop dependents:
    • Attach the completed 2021 Employee Enrollment Change (PDF) form to your Marriage and Domestic Partnership Change Benefit Event. This must be entered by the ISC.
  • To enroll/change your Premium Payment plan (e.g. the tax treatment of your health plan deductions), attach the completed Premium Payment Plan Election/Change form (PDF) to your Marriage and Domestic Partnership Change Benefit Event. This must be entered by the ISC
Workday: Initiate a Marriage and Domestic Partnership Change Benefit Event

Proof of Event Required: Scan/attach proof of the event and any newly added dependent verification

Elect/increase optional life for you and your dependents through MetLife Paper Form: Submit a completed Metlife enrollment form (PDF) form to MetLife

Birth or Adoption

This Life Event is when you acquire a new dependent(s) due to birth, adoption or when you assume legal obligation for full or partial support prior to adoption.

Refer to the Life Event: Birth or Adoption page for guidance.


Loss of Other Coverage

This Life Event is when you or your dependent loses other coverage under a group health plan or through health insurance coverage, as defined by HIPAA.

To be eligible for this Life Event, the reason for the loss of coverage must be your/your dependent’s loss of eligibility, or because the employer providing the coverage ended their contributions.

Refer to the Life Event: Loss of Other Coverage page for guidance.


Gain of Other Coverage

This Life Event is when:

  • You gain coverage under a group health plan that is provided by an employer other than the University of Washington.
    -or-
  • Your dependent gains coverage under an employer-based group health plan in which they are eligible for the employer contribution.

Refer to the Life Event: Gain of Other Coverage page for guidance.


Newly Eligible Disabled Dependent

You are enrolling your new disabled dependent (disability must have occurred prior to age 26).

Enrollment changes you can make within 60 days of the life event: How to change your Election(s)
  • Enroll/drop/change your medical and dental plan election
  • Enroll/change spending accounts (FSA and DCAP)
  • Change Tobacco Use Attestation
  • Change Spousal Surcharge Attestation
Paper form: Download the 2021 Employee Enrollment Change (PDF) and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Proof Documentation Required:

The HCA will need to review and approve your Certification of a Child with a Disability form.

Enroll/change Premium Payment Plan Paper Form: Download the Premium Payment Plan Election/Change form and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Newly Eligible Extended Dependent

You acquire a new dependent due to a child becoming eligible as an extended dependent through legal custody or legal guardianship

Enrollment changes you can make within 60 days of the life event: How to change your Election(s)
  • Enroll/drop/change your health plan election
  • Add/drop dependent(s) in health coverage
  • Enroll/change spending accounts (FSA and DCAP)
  • Change Tobacco Use Attestation
  • Change Spousal Surcharge Attestation
Paper form: Download the 2021 Employee Enrollment Change (PDF) and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Proof Documentation Required:

  • Extended Dependent Certification (PDF) form
    -AND-
  • Valid court order showing legal custody; guardianship, or temporary guardianship, signed by a Judge or Officer of the Court

The HCA will need to review and approve your Extended Dependent Certification form and court order.

Enroll/change Premium Payment Plan Paper Form: Download the Premium Payment Plan Election/Change form and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Dependent Loss of Eligibility

Your dependent no longer meets PEBB eligibility criteria due to:

  • Divorce, annulment
  • Dissolution of state-registered domestic partnership (if state-registered domestic partner was your tax dependent)

Additional Scenarios
• If your dependent no longer meets the plan definition of dependent (e.g. reaches age 26), the Integrated Service Center will end coverage for your dependent at the end of the calendar month in which they turn age 26. Contact the ISC with questions.
• If your dependent no longer meets PEBB eligibility criteria due to death, please contact UWHR Benefits at 206-543-4444.

Enrollment changes you can make within 60 days of the life event: How to change your Election(s)
  • Drop dependent(s) from health coverage
  • Enroll/change spending accounts (FSA and DCAP), effective first day of the month the later of date of loss or election
Paper form: Download the 2021 Employee Enrollment Change (PDF) and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Proof Documentation Required (provide one of the following):

  • Decree for Dissolution of marriage (divorce)
  • Decree for Dissolution of state-registered domestic partnership
Enroll/change Premium Payment Plan Paper Form: Download the Premium Payment Plan Election/Change form and complete it; however, include only the last 4 digits of your Social Security number on the form. Email the completed form to the ISC at ischelp@uw.edu.

Change In Residence

This Life Event is when you or your dependent has a change in residence that affects health plan availability: you can change your medical and/or dental plans IF your or your dependent’s current health plan does not provide coverage in your new location.

Refer to the Life Event: Change In Residence page for guidance.


Dependent Moves To or From the USA

This Life Event occurs when your dependent loses their health insurance as a result of their having a change in residence either from outside of the USA to within the USA, or from within the USA to outside of the USA.

Refer to the Life Event: Dependent Moves To or From the USA page for guidance.


Newly Eligible Dependent due to Court Order

This Life Event is when a court order, legal guardianship, or national medical support notice requires you to provide insurance coverage for an eligible dependent child.

Refer to the Life Event: Newly Eligible Dependent due to Court Order page for guidance.


Consumer-Directed Health Plan (CDHP) Becomes Unavailable

This Life Event is when you or your dependent’s current Consumer-Directed Health Plan (CDHP) becomes unavailable because you or your dependent are no longer eligible for a Health Savings Account (HSA).

Refer to the Life Event: Consumer-Directed Health Plan (CDHP) Becomes Unavailable page for guidance.


Medicaid/CHIP, Medicare, or TRICARE Coverage Changes

Refer to the Life Event: Medicaid/CHIP, Medicare, or TRICARE Coverage Changes page for guidance.


Change in Dependent Care

  • Change Dependent Care Provider (with Increased or Decreased Cost): Your dependent care provider imposes a change in the cost of dependent care, provided the dependent care provider is not a relative as defined in Section 152 (a)(l) through (8), incorporating the rules of Section 152 (b)(l) and (2) of the IRC.
  • Change number of DCAP Qualifying Individuals: You or your spouse/partner experience a change in the number of qualifying individuals as defined In IRC Section 21 (b)(l).
Enrollment changes you can make within 60 days of the life event: How to change your Election(s)
Enroll in or Change DCAP Workday: Initiate an FSA/DCAP Change Benefit Event

Proof Documentation Required (provide one):

  • Letter from both the current and new daycare providers stating the premium amount for qualifying Individuals and the due date;
  • Billing statement from both the current and new daycare providers stating the premium amount for qualifying individuals and the statement date.