Qualifying events

To make a change, employees must submit the request during the transfer period or within 31 days of a qualifying event.

Qualifying events include the following:

  • A change in family status due to death, birth, adoption, domestic partnership, marriage, divorce, annulment, or legal separation between the employee and spouse

  • The attainment of the maximum age for coverage of a dependent child

  • A court order requiring an employee to provide health coverage for eligible dependent children

  • A change in the employee's residence so that he or she is no longer in the health plan service area

  • A change in the employee's title that necessitates a change in health plan

  • Loss of a spouse's coverage

  • Being out on a leave of absence during a transfer period

For more information, refer to the Summary Program Description (SPD). You may also contact your agency benefits representative or NYCAPS Central, whichever is applicable.


2007
Last revised: March 9, 2009