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Qualifying Events Making Changes During the Year Choose your benefits carefully! You cannot change your benefit options during the year unless you have a qualified life event. Qualified Life Events include: Marriage or divorce Change in your employment status—Employment termination or obtaining new employment Death of your spouse or dependent Change in spouse's employment status—Employment termination or obtaining new employment Birth or adoption of a child Change in dependent eligibility status ***You have 30 days from the Qualifying Event Date to submit your benefit changes*** Qualifying Events—Additional Information • Newborns will be covered under your medical plan if you have any of the District medical plans for the first month of life at no charge.YOU MUST contact the Employee Benefits Department within the initial 30 days for this coverage to be added to your health insurance deductions. If you wish to enroll the newborn and other eligible dependents to your health insurance, please read below. • If you do not have family coverage,you may enroll the newborn, as well as other eligible dependents, within 30 days of birth. If you do not complete the enrollment for the newborn/other dependents within 30 days from the date of birth,you will not be able to add them until the next Open Enrollment period unless you have another qualifying event. NOTE:You will be required to pay the Employee+ Family premium from the date the insurance coverage is added (back to date of birth). • If you already have family coverage, be sure to complete the Qualifying Event online within 30 days to add the newborn as a new dependent.There is no increase in your family premium when adding the newborn to your existing family coverage. A copy of the birth certificate and any other dependent documentation will be required. Submitting Qualifying Events 1.To submit a qualifying event to Employee Benefits please visit www.sdirc-benefits.com. , f 2. Follow the login instructions on page 13. 3. Select your applicable life event and enter the date of your ' /4-4 life event. 11/4) 4. Follow the instructions provided in the system on each life , event to advise what date should be used. 5. Complete the process by following the system prompts. 6. Upload required documentation by clicking on the paper icon above the Florida Blue section. NorLirj Airadr } 45 10 ,•