Qualifying Events

To make changes to benefits outside of an open-enrollment period, employees must have experienced an Applicable Qualifying Event, as defined by the Internal Revenue Service (IRS). Changes based on financial reasons alone are not allowed under the current IRS regulations.

The request for a change of benefits must be made within 31 days of the Applicable Qualifying Event. Within the context of changing benefits, "Applicable" refers to a change that is directly related to the individual experiencing the qualifying event.

For dependent(s) added to coverage, you are required to submit a Public Benefit Dependent Affidavit with supporting documentation. Documentation must be submitted within 90 days from the benefit coverage effective date.

Failure to submit supporting documentation will result in dependent(s) being removed from your coverage.

"Qualifying Events" include:

Except for coverage of a newborn, all other changes in coverage begin the first day of the month following the qualifying event. Coverage for the newborn is effective on the child's date of birth. The premiums for newborn coverage cannot be pro-rated and must be paid for the entire birth month.

For dependent(s) added to coverage, you are required to submit a Public Benefit Dependent Affidavit with supporting documentation. Documentation must be submitted within 90 days from the benefit coverage effective date.

Failure to submit supporting documentation will result in dependent(s) being removed from your coverage.

For additional information, please contact the City of Surprise HR Department.