Adding Dependents
(Spouse, Domestic partner, Children)
Qualifying events :
The following events allow dependents to be added to your health benefits:
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Birth of a child
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Marriage
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Adoption/Pre-Adoption placement
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Court-ordered Custody
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Medical Child Support order
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Legal Guardianship
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Loss of other coverage
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Major adverse change in coverage
After your initial 31 days of hire, you have 63 days from the date of the qualifying event (on births and adoptions the 63 days begin after the 31 days of automatice coverage) to enroll additional members to your health plan. Your enrollment/change form and any required documentation (such as a birth certificate or marriage license) MUST be received at PO Box 200127 Helena, MT 59620-0127 by the 63rd day. For complete information regarding Qualifying Events, please refer to the Summary Plan Document .
If you have received a letter of denial after you have turned in the enrollment/change form and you do not agree with the decision, you have the option to appeal. If you wish to appeal the decision you must send in a written request within 30 days from the date of the denial letter you received. The appeal should indicate the reasons you feel this decision should be re-evaluated. All information that you provide will be reviewed and a final decision issued within 45 days from the date that we receive your appeal in our office.
The request should be sent to:
Health Care and Benefits DivisionAttn: Appeals
PO Box 200130
Helena, MT 59620-0130
