Special Enrollment Due to Gaining a New Dependent

An enrollee may enroll a new dependent for coverage if the new dependent was acquired as a result of any of the following qualifying events:

An enrollee may enroll a new dependent for coverage if the new dependent was acquired as a result of any of the following qualifying events:

To enroll for coverage under these circumstances, an Application for Coverage form must be submitted to the employer unit within 60 days of the event, and appropriate premium payments must be made. As part of the application process, the enrollee may be required to provide proof of the qualifying event. If these requirements are met, coverage under the Plan will take effect as of the date of the qualifying event. (In the case of a QMCSO, the coverage will be effective the first day of the month following the date of the order.)

An enrollee adding coverage due to a special enrollment event may change coverage types (Base to Select, or Select to Base). There is no deductible or out-of-pocket credit if an enrollee changes coverage types during a calendar year.

If an enrollee is applying for coverage for a newborn, the Application for Coverage form must be submitted to the employer unit within 60 days of the child's date of birth even if a Social Security number for the newborn is not available at the time. The Social Security number should be provided by the enrollee when received from the Social Security Administration.

Note: If the enrollee does not apply for coverage for himself or his eligible dependents during any of the special enrollment periods described herein, application cannot be made until an open enrollment period.