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Life Event Changes

You, your spouse and your dependent children who are covered under this plan may experience life event changes which affect enrollment and eligibility. Examples of these life event changes include marriage, divorce, a child’s loss of eligibility, and death. This section provides important information about what you or your dependents should do if one of these life events occur.

Enrollment Card

You must complete a new Enrollment Card if you experience a life event change such as marriage, divorce, legal separation, adding or removing a dependent child, or if you would like to name a different beneficiary for your life insurance benefit. An up-to-date Enrollment Card allows the Trust Office to process your claims more efficiently and helps the Trust Office keep you informed about health and security and pension plan issues.

Marriage

To enroll a new spouse for coverage, you must complete a new Enrollment Card within 60 days of your marriage. A copy of the certified marriage certificate must also be provided to the Trust Office. Coverage for your new spouse will begin after enrollment is completed retroactive to the date of marriage.

You must also designate a life insurance beneficiary on the new Enrollment Card.

Newborn, Adopted, Legally Placed, or Step Children

To enroll a new baby or a new dependent child, you must complete a new Enrollment Card within 60 days of the marriage, birth, placement for adoption, adoption, or the date the child was legally placed in your care (please see Other Enrollment Documents).

Your newborn child will be eligible for coverage on the date of birth. If a child is placed with you for adoption, the child will be eligible for coverage on the date of the placement for adoption as long as the child satisfies the eligibility requirements of this plan. If a child is legally placed with you by virtue of a court order, the child will be eligible for coverage on the date of the court order. Stepchildren who live in your home are eligible for coverage on the date of your marriage. Please see Eligible Spouse and Dependent Children for additional details about eligibility.

Legal Separation or Divorce

Eligibility for your spouse and stepchildren continues until the end of the month in which the legal separation or dissolution of marriage becomes final (please see Eligible Spouse and Dependent Children and Termination of Coverage). However, your spouse and stepchildren may elect to continue coverage under COBRA Continuation Coverage for up to 36 months if they would otherwise lose plan coverage (please see COBRA Continuation Coverage).

If, following a divorce, you want your ex-spouse to remain the beneficiary for your life insurance benefit, you must rename him or her on a new Enrollment Card.

A Qualified Medical Child Support Order (QMCSO) could have an effect on benefit coverage. Please notify the Trust Office if a QMCSO is part of a divorce proceeding (please see Eligible Spouse and Dependent Children).

Child’s Loss of Eligibility

Coverage for your covered dependent children ends on the last day of the month in which you, your spouse or your dependent child no longer satisfies the eligibility requirements of the plan (please see Eligible Spouse and Dependent Children, Suspension of Eligibility For Noncovered Employment and Termination of Coverage).

Your dependent children may elect to continue coverage under COBRA Continuation Coverage for up to 36 months if they would otherwise lose plan coverage (please see COBRA Continuation Coverage).

Death of Spouse or Child

You should notify the Trust Office of the death of a covered spouse or dependent child. When the Trust Office is notified, you will receive the information necessary to submit a life insurance claim (please see Life Insurance Benefits).

A new Enrollment Card is required to change your life insurance beneficiary.

Death of Participant

Your surviving spouse, dependent children or beneficiary should notify the Trust Office if you die. Your spouse and dependent children are covered under this plan until your earned eligibility is exhausted (if applicable) as long as they continue to meet the eligibility requirements of this plan. COBRA Continuation Coverage is also available. In certain circumstances, your surviving spouse and dependent children may qualify for the Carpenters Health and Security Plan – For Retired Carpenters (please see Carpenters Health and Security Plan – For Retired Carpenters). When the Trust Office is notified of your death, your beneficiary will receive the information necessary to submit a life insurance claim (please see Life Insurance Benefits). A surviving spouse must also complete a Life Insurance Beneficiary Designation – Surviving Spouse form naming a new life insurance beneficiary.

If the surviving spouse remarries, his or her eligibility and the eligibility of his or her dependent children in this plan is unaffected. However, members of the surviving spouse’s new family cannot enroll in this plan. Separate rules govern COBRA Continuation Coverage.


 

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