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Qualified Life Events

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You may experience a change in your life that means you're eligible to enroll in benefits (if you aren’t currently enrolled) or change your current benefits elections (if you are currently enrolled). Some examples of this include getting married, having or adopting a child, or getting divorced.

Use the chart below to help you decide if your change in life status is a qualified life event and if you can change your benefits. 

If you’re ready to change your benefits, click here. You must request the benefit change within 31 days of the qualified life event.

If you process a life event, you'll be asked to provide documentation of the event, such as a birth certificate or marriage license. For more information, please review the Summary Plan Description (SPD).

Changes You Can Make

You have a change in your legal marital status, including marriage, legal separation, divorce, annulment or death of a spouse.
  • Enroll and add your new spouse and children who meet the definition of a dependent under the Program
  • Drop your coverage and coverage for any dependent children that your spouse is adding to his/her coverage
  • Drop coverage for your spouse and any children that no longer meet the definition of a dependent under the Program

Your number of dependent child(ren) changes due to birth, death, adoption or placement for adoption.
  • Enroll and add your new child(ren)
  • Drop coverage for your child(ren) that no longer meet the definition of a dependent under the Program

There is a change in your dependent's eligibility for coverage under the Program due to attainment of age.
  • Discontinue coverage for your child(ren) that no longer meets the definition of a dependent under the Program. For example, a child that attains age 26.

You, your spouse or dependent child experience a change in employment status, including termination, commencement of employment, commencement of, or return from, an unpaid leave of absence and any other change in employment status that affects eligibility.
  • Add your spouse and/or any children that meet the definition of a dependent under the Program when your spouse and/or child loses employment/medical coverage
  • Discontinue coverage for yourself, your spouse, and/or any children you are currently covering under the Program when your spouse or child initially obtains employment/medical coverage

You move out of an Hawaii Kasier HMO service area or a Cigna Dental Care (CDC) Dental Plan network service area.
  • Elect a different medical (or dental) coverage option under the Program for the remainder of the Plan Year

You involuntarily lost your alternative medical coverage, if you previously waived medical coverage under the Program.
  • Elect coverage for yourself and eligible dependents under the Medical Options and/or Dental Options for the remainder of the Plan Year

Your spouse's open enrollment period.
  • Add coverage for yourself, your spouse and any dependent children during your spouse's annual open enrollment period
  • Discontinue coverage for yourself, your spouse and any dependent children during your spouse's annual open enrollment period

You have a Medical Child Support Order (QMCSO).
  • Add a dependent to coverage under a valid QMCSO
  • Drop a dependent because the dependent has other coverage through a valid QMCSO

You become eligible for Medicare or Medicaid or you lose your Medicare or Medicaid coverage.
  • Add Hertz medical coverage
  • Drop Hertz medical coverage