(a) A benefit
election may be voluntarily canceled or changed prior to the end of a period of
coverage, if both of the following conditions are met:
(1) The cancellation or change is on account
of and is consistent with a change in status authorized under section 125 of
the Code or under written guidance issued by the federal Treasury Department or
the Internal Revenue Service, including but not limited to such events as:
(A) A change in legal marital status
(including marriage, divorce, death of spouse, legal separation, or
annulment);
(B) A change in the
number of dependents (including birth, adoption, addition of a foster child,
death of a dependent, or the addition of eligible dependents to the employee's
household);
(C) A change in
employment status of the employee, employee's spouse, or the employee's
dependent (including commencement or termination of employment, a strike or
lockout, reduction or increase in hours of employment by the employee, spouse,
or dependent, commencement of or return from an unpaid leave of absence,
transfer to a non-eligible employment classification, a change to a new
employment classification where other component plans are available or where
the employee's carrier plan is not available, or a change in
worksite);
(D) A change that causes
an employee's dependent to satisfy or cease to satisfy eligibility requirements
for coverage (including attaining age,, student status, or any similar
circumstance);
(E) A change in
residence of the employee, spouse, or dependent where the employee's carrier's
plan is no longer available or where other component plans are
available;
(F) A judgment, decree,
or order resulting from a divorce, legal separation, annulment, or change in
legal custody (including a qualified medical child support order as defined in
section 609 of ERISA) that requires accident or health insurance coverage for
an employee's child or foster child who is a dependent of the
employee;
(G) An entitlement or
loss of entitlement to medicare or medicaid, or loss of entitlement to certain
other governmental or educational institution group medical programs as defined
under the Code;
(H) A significant
change in the component plan costs or coverage terms, including the addition or
elimination of a benefit plan;
(I)
A change in coverage under another employer plan;
(J) A reduction in service hours that meets
the following conditions:
(i) The employee
has been in an employment status under which the employee was reasonably
expected to average at least thirty hours of service per week (even if that
change does not make the employee ineligible for coverage) and there is a
change in that employee's status so that the employee will now be reasonably
expected to average less than thirty hours of service per week after the
change; and
(ii) Upon cancellation
of the election of coverage under the component plan, the employee attests to
the plan in writing that the employee and any related individuals who are no
longer covered because of the cancellation, have enrolled or intend to enroll
in another plan that provides minimal essential coverage with the new coverage;
provided that the new coverage is effective no later than the first day of the
second month following the month in which the date the original coverage was
canceled;
(K) Enrollment
in a qualified health plan that meets the following conditions:
(i) The employee is eligible for a special
enrollment period to enroll in a qualified health plan through a health
insurance exchange pursuant to guidance issued by the federal Department of
Health and Human Services and any other applicable guidance, or the employee
seeks to enroll in a qualified health plan through a health insurance exchange
during the health insurance exchange's annual open enrollment period;
and
(ii) Upon cancellation of the
election of coverage under the component plan, the employee attests to the plan
in writing that the employee and any related individuals who are no longer
covered because of the cancellation have enrolled or intend to enroll in a
qualified health plan through a health insurance exchange for new coverage that
is effective beginning no later than the day immediately following the last day
the original coverage is canceled; or
(L) Commencement of or return from a leave of
absence provided through the Family and Medical Leave Act; and
(2) A corresponding cancellation
or change in the employee's component plan enrollment is acceptable under the
administrative rules of the entity authorized by statute to administer the
State's health benefit plans.