Coverage information

John Smith

52525252

004

A - Staff (Employee Levels 1 to 9)

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Birth of adoption of a child

Change in marital status

Change in spouse’s coverage under another plan

Change in eligibility of dependants

Effective date

Note

If a member need to change coverage for a reason not listed above, please contact customer service.

Change in marital status

A waiting period may have to be satisfied before a plan member is eligible for a coverage change if the life event is due to a new common-law relationship or a separation. The "Date the selected event occurred" should be the date that the waiting period was satisfied.

If the life event is due to a marriage or divorce then there is no waiting period.