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Notice

Enrollment of Eligible Employees, Spouses, Domestic Partners, and Dependents - Enrollment in benefits must take place within 31 days of an employee first becoming eligible for benefits, during an annual open enrollment period or within 31 days of an appropriate qualifying life event. All necessary forms and required documentation must be submitted to the Office of Human Resources within this time period.

Qualifying life events for enrolling Eligible Employees, Spouses, Domestic Partners and Dependents include the following:

1. Marriage, civil union, or registered domestic partnership; or for Eligible Domestic Partners, the earliest date on which the residency (b) and financial interdependence (f) criteria are satisfied;

2. Birth, adoption, or legal guardianship of a child;

3. Loss of benefit coverage for an Eligible Employee, Spouse, Domestic Partner or Dependent previously covered by a non-SU employer or other non-SU source.

Coverage for an Eligible Employee, Spouse, Domestic Partner, or Dependent will be terminated upon the date he or she no longer meets the eligibility criteria for benefits (e.g., date of divorce, dissolution of marriage, civil union or registered domestic partnership, or the earliest date the Domestic Partner criteria are no longer met, as applicable). Eligible Employees must notify the Office of Human Resources and submit all necessary forms and required documentation within 31 days of the date their covered Spouse, Domestic Partner or Dependent no longer meets the eligibility criteria.

Eligible Employees may voluntarily terminate coverage for themselves or their Eligible Spouses, Domestic Partners, and Dependents during an annual open enrollment period or within 31 days of an appropriate qualifying life event. For qualifying life events, benefits will be terminated as of the date of the event provided all necessary forms and required documentation are submitted to the Office of Human Resources within the 31 day time period.

An Eligible Spouse's or Domestic Partner's open enrollment that includes new coverage options not previously available is considered a qualifying life event for voluntarily terminating coverage.

For further information on eligibility, please refer to the Benefits Eligibility Policy.

Date: January 2011

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