Request a Qualifying Event
If you are not in an open enrollment period and you need to change your benefits, you must request a qualifying event.
- Select .
Select the Qualifying Event from the
The available qualifying events are determined by your Benefits Admin.
Enter the date of your new elections in the
Note: If an effective date is required, this field displays with a red asterisk.
- If you want to include a message to your Benefits Admin, enter it in the Notes section.
- To add documentation to your request, attach the file in the Drop a file or Click to upload field.
- When you are finished, select Request.