Qualifying events and life events are special events that occur outside of the New hire/rehire enrollment period.
These events allow eligible employees to add or remove dependents onto their medical insurance plan within 30 days of event occurrence.
Adding a dependent requires supporting documentation. Please click here to view Dependent Eligibility Required Documentation.
All full-time and part-time (20 hrs. or more) employees are entitled to enroll in City Health Coverage administered by the NYC Office of Labor Relations.
You can remove a dependent from your medical insurance for the following reasons:
- Moving out of your health carrier’s coverage area
- The Death of a Dependent
- Divorce
- Loss of coverage for a dependent
- Dropping a dependent
- Standard hours change
- Not enrolling within the required timeframe
Moving Out of your Health Carrier’s Coverage Area
Allows you to select another health plan.
Required: An updated address in the PeopleSoft HR and Health Benefits Application.
Upload all documents using the Qualifying Event Guide.
The Death of a Dependent
Allows you to drop a dependent from your current health plan.
Required: An updated address in the PeopleSoft HR and Health Benefits Application.
Upload all documents using the Qualifying Event Guide.
Divorce
Allows you to drop an ex-spouse from your current health plan.
Required: An updated address in the PeopleSoft HR and Health Benefits Application.
Upload all documents using the Qualifying Event Guide.
Loss of Coverage for a Dependent
Allows you to add a dependent to your current health plan.
Required:
- Termination letter from the prior health plan
- Government-issued birth certificate
- Government-issued marriage certificate
- Government-issued domestic partner certificate and Health Benefit Application.
Please note if you have been in your marriage or partnership for over one year you must upload proof of cohabitation.
Upload all documents using the Qualifying Event Guide.
Dropping a Dependent
A dependent can only be removed from your insurance plan if they have coverage.
Required: Health Benefits Application and proof-dependent is being covered under a health plan outside of NYC Health+Hospitals (Copy of health insurance card)
Upload all documents using the Qualifying Event Guide.
Standard Hours Change
Becoming a full-time employee from part-time or part-time to full-time. You must work 20 hours or more to be eligible for benefits.
Required: An updated address in the PeopleSoft HR and Health Benefits Application.
Upload all documents using the Qualifying Event Guide.
Not Enrolling within the Required Timeframe
Please call us directly before creating an event. Unsure if you have a qualifying event?
Reach Out to us at 1-646-458-5634 | Monday – Friday | 9 AM – 5 PM
PeopleSoft HR
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