| 3 | Domestic Partner Imputed Income If you choose to add your domestic partner to your medical and/or dental coverage, you will be responsible for imputed income tax on the difference in the employer premium for the additional coverage. Status and Benefit Changes You can change your coverage during the year if you have a qualifying life event. The changes you may make depend on the type of qualifying event that occurs. If you experience a qualifying life event and wish to make changes to your benefits, you must declare a life event through Lawson within 30 days from the date of the event (60 days for the birth of a child, adoption, or adoption placement). Team members are allowed to make changes mid- year between plan options under health insurance or dental insurance. For example you may change from the Network Plan to the Health Savings Plan (HSA) or vice versa. Note: Deductible and maximum out of pocket accumulators will not transfer between plan options, team members will be responsible for any excess health saving account contributions and team members are not able to change flexible spending account annual election amounts. Qualifying Life Events › Marriage, divorce, or legal separation › Birth or addition of an eligible child › Loss of other coverage › New eligibility for other coverage › Qualified medical child support order › Status changes › Commencement or return from an unpaid leave of absence STATUS CHANGES Current team members who are newly benefit eligible have 30 days from their status change date to enroll in benefits. If moving from a full-time to part-time position or vice versa you have 30 days from status change date to request a change to your health insurance through AskHR. Transferring Employment Within UPH Affiliates If you transfer employment to another UnityPoint Health affiliate, your benefits will continue unchanged if you continue to meet eligibility requirements. You cannot make changes to your benefit elections if you transfer employment as this is not a qualifying event for making changes during the year. Dependent Eligibility Eligibility for your dependent begins or ends with: › Change in residence or place of work resulting in change in health insurance availability › Death of spouse/domestic partner or child LIFE EVENT GUIDE For additional information check out the Qualified Life Event Guide