Generally, you are permitted to enroll or make changes to your enrollment in Monmouth University’s group health plans (for example, the medical or dental plans) during your initial eligibility (following a waiting period once hired into a benefits eligible position) or annually during our Open Enrollment period.
However, if your personal situation changes at another time during the year, your eligibility for benefits or those of your dependents, may be impacted. Some of these events may qualify as an official change and these changes are known as “qualifying status events.” Depending on the event, you may change certain benefits with proper and timely written notification to the Office of Human Resources.
The Monmouth University Open enrollment period occurs during the last two weeks of April each year with a July 1st effective date of coverage for the medical and dental plans. Open Enrollment for the Flexible Spending Account is the last two weeks of November with a January 1st effective date. However, if you experience a qualified change in status you may be able to make mid-year changes.
A life event change, also called a qualifying event, is a personal change in status which may allow you to change your benefit elections. Examples of some qualifying events include, but are not limited to, the following:
If you experience a qualifying event, you will need to request a change, in writing, to your benefits within 30 calendar days of the event and provide any required documentation. Required documentation may include a marriage, birth, adoption or death certificate as appropriate. Or, in the case of loss of coverage in other health insurance plan, documentation from the insured party’s employer specifying type of coverage, reason for loss of coverage along with who was covered under the plan. If you do not request the change within 30 calendar days, the next opportunity you will have to make changes to your benefits will be during the next open enrollment period.
If you declined enrollment for yourself or your dependents (including your spouse) at the time of your hire because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in the Monmouth University sponsored plan if you or your dependents lose eligibility for the other health insurance or group health plan coverage (or if the employer stops contributing towards your or your dependents’ other coverage). However, you must request enrollment within 30 days after you or your dependents’ other coverage ends (or after the employer stops contributing toward the other coverage).
In addition, if you have a new dependent as a result of a marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment within 30 days after the marriage, birth, adoption or placement for adoption.
Additional information and FAQ’s can be accessed at the US Department of Labor’s Compliance Assistance Tool
** Please note that if the University is not notified within the time parameters outlined above resulting in the University incurring expenses, such expenses will be the responsibility of the employee.
When you have a qualifying status event change, it is also a good time to review your beneficiary whom you have designated to receive benefits in the event of your death.
Changes in your family situation, as a result of a qualifying status event, do not automatically alter or revoke your previous beneficiary designations. Beneficiary designations made prior to the qualifying status event remain intact until you complete a new beneficiary form.
You may wish to consider updating your life insurance and/or your TIAA–CREF retirement plan beneficiaries. Beneficiary forms for life insurance may be obtained from the Office of Human Resources. Beneficiary updates to your 403(b) Retirement Plan must be made directly with TIAA CREF (or with your previous 403(b) vendor).