Carnegie Mellon University

Life and Family Status Changes

Life or family changes sometimes require you to change your benefits outside of Open Enrollment.

Following IRS regulations, you can make changes to your benefits that are consistent with your life or family status change within 30 days of the date that the status change occurred. If you miss the 30-day enrollment period, you must wait until the next Open Enrollment to make changes.

In most cases, you may not change the benefit carrier or option (e.g., UPMC to Highmark or PPO Option 2 to PPO Option 1), but you may modify the level of your coverage (e.g., employee and spouse to family coverage).

Supporting  documentation  to  verify  a  status  change,  such  as  a  birth  certificate,  marriage certificate, or proof of new coverage, is required. Review Benefits for Dependents and the accepted dependent eligibility documentation [pdf].

If you experience a life or family status change, but  do  not  yet  have  the  required  supporting  documentation,  please  do  not  wait  to  request  the change  in  Workday  until  you  receive  it. You  can  follow  up  and  upload  the  documentation  in Workday within 30 days of making the elections.

30 Day Deadline

You have 30 days from the event to request benefit changes in Workday. After electing the new benefits, you have 30 days to upload required documentation. This includes documentation to verify the status change and to verify newly added dependents.

Consistency Rule

The benefit changes you request must be consistent with your life or family status change. For example, if your spouse loses outside Medical/Rx coverage, you may add your spouse to your Medical/Rx plan, but you would not be able to drop Vision coverage.

Qualifying Life and Family Status Changes

  • Marital/domestic  partnership  status  changes  (e.g.,  marriage  or  registration  of  partnership, death, divorce or termination of partnership)
  • Employment status changes (e.g., part-time to full-time)
  • Coverage from another source is gained or lost
  • Dependent eligibility changes (e.g., birth or adoption, death, or dependent becomes ineligible for coverage)
  • Significant change in cost or coverage of plan (as defined by the university)
  • Relocation (e.g., domestic to international position change, spouse arriving from overseas)