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Qualifying Events

QUALIFYING EVENTS

The University of North Georgia allows members to pay premiums on a pre-tax basis by adhering to IRS section 125. Under this program, the IRS has established strict rules regarding the changes you may make to your plans. The choices made during the open enrollment period must remain in effect for the entire plan year (January 1 - December 31).

Exceptions are permitted under IRS rules when a member has a qualifying event such as a birth or marriage. If you have an event, you are required to notify the Benefits Office within 30 days of the qualifying event by logging into the ADP portal (portal.adp.com>Benefits>MyBenefits>Family Status Change).

The effective date will be the date of submitting the qualifying change or the 1st day of the upcoming month.

DOCUMENTATION REQUIRED

If you have a qualifying event, documentation must be submitted within 30 days of the event. If you are adding dependents to your coverage during Open Enrollment (typically portions of October/November each year), be sure to submit dependent documentation prior to any posted Open Enrollment deadline.

You are required log into the ADP portal: www.portal. adp.com and click on tabs: Benefits/My Benefits/ Family Status Change. Please refer to the chart for acceptable documents.

BENEFITS START DATE

Employee and dependent benefits coverage will start no sooner than on the first day of the month after enrollment.

The logic for start of coverage is as follows: Benefits may begin on the first business day of the month if all employment records are updated prior to this date. Any day following the first business day will be effective the first day of the following month.

Acceptable Verification Documents

  • Spouse:
    • marriage certificate
      ...plus 1 of the following
      • copy of federal tax returns
      • joint household bill
      • joint bank/credit account
      • joint mortgage or lease
  • Children:
    • birth certificate
  • Step-children:
    • copy of marriage certificate as proof of the dependent’s relationship to employee
  • Disabled dependent
    • copy of the front page of one of your last two year’s filed federal tax return confirming showing that you claimed this dependent. Blacken out any financial information
    • proof of incapacity
  • Dental, Vision and all Life Insurance Options:
    • full time student verification required for ages 19-26 

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