There are two opportunities for employees to make changes to covered dependents:

1.   Qualifying Events

If you experience a qualifying life event you have the opportunity to add or remove dependents from your coverage or make other changes to your benefit elections. To make changes outside of open enrollment, employees must complete and submit the enrollment/change form to your human resources office within 60 days of the event occurring. Below are some of the more common examples.

Removing Dependents:  You are required to contact your human resources office and remove a dependent that is no longer eligible for State System coverage under the following situations:

      • Covered child attains age 26 (unless disabled) removed automatically based on child date of birth
      • Divorce (removal of spouse and stepchildren).
      • Termination of a domestic partnership (removal of partner and children of partner).
      • Death of a dependent.

Adding Eligible Dependents: You may add a dependent for State System coverage due to a qualifying life event. You must notify your human resources office and submit the enrollment change within 60 days of the qualifying life event.

      • You gain a dependent through birth or adoption.
      • You get married.
      • Your dependent loses coverage under another employer’s plan.
      • Your dependent loses eligibility for coverage in a Medicare plan, a Medicaid plan, or a state children’s health insurance program.

Other Plan Enrollment Changes: You must notify your human resources office and submit the enrollment change within 60 days of the qualifying life event.

      • You lose coverage under your spouse's plan.
      • You move, either to an area outside of your current plan’s service area, or to an area where a different plan option is available.

Qualifying Event Additional Information

 

2.  Open Enrollment – Every Spring

The State System health plan runs July 1 through June 30. Unless you have a qualifying life event, you cannot make changes to your benefits until next Open Enrollment period.

You may add/drop dependents during annual open enrollment. You will need to provide original documentation that verifies your dependent’s eligibility for State System coverage, e.g., birth certificate, marriage certificate, and court-approved adoption order. You must submit any required original eligibility documentation prior to your dependent being enrolled in the health plan.

Documentation Requirements


Instructions for Open Enrollment (Enroll or Make Changes) Through Self Service Workplace, FIORI
All changes must be made online using the self-service workplace, Fiori.

  • Go to FIORI: (https://workplace.passhe.edu) and Sign in.
  • On the tiles, select My Benefits Enrollment.
  • Follow the enrollment directions here.
  • Review and retain the email confirmation to verify open enrollment changes. If you do not receive an email confirmation of open enrollment changes, contact your human resources office prior to the end of open enrollment.

For additional questions or information, please contact your university human resources office.