Life Events & Family Status Changes

• If you have a "change in status";
  
• If you experience another event, such as a change in your spouse's plan, under which other election changes are allowed;
  
• If you had not enrolled yourself or your dependents due to other medical coverage but lose that other coverage.
  

Refer to the Health Benefits Plan Summary Plan Description for details on qualified changes in status.

The following steps outline how to make a change in family status:

• Log in to mybluesky.depaul.edu and go to Me > Benefits > Report a Life Event;
  
• Select your event type and enter when the event occurred;
  
• Add people to cover;
  
• Navigate to Document Records and upload supporting documentation;
  
• Once you receive electronic approval of your documentation, make changes to benefit plans consistent with your change in status;
  
• Save and submit your benefit elections;
  
• Submit your event completion and exit.
  

Second Domicile Adult (SDA)

If you are eligible for coverage under the health plans, you have the option of enrolling either a Related Second Domiciled Adult (SDA) or an Unrelated Second Domiciled Adult (SDA), in lieu of enrolling a spouse. You may also enroll your SDA's children in your health plans. Your SDA is eligible for coverage under all of the benefit programs offered under the health plans. You are limited to enrolling in only one SDA, and you may enroll a spouse or SDA, but not both.

Related SDA
An adult member of your household is a Related SDA if they are your relatives, including your parent, son, daughter, grandchild, great-grandchild, grandparent, great-grandparent, brother, sister, half-brother, half-sister, uncle, aunt, nephew, niece, mother-in-law, father-in-law, step-parent, or step-child;

Unrelated SDA
An adult (same or opposite sex as you) member of your household is an Unrelated SDA if they are not related to you in any way that would prohibit marriage and are not legally married to any person;

Your Unrelated SDA also includes an individual with whom you have entered into a civil union in Illinois, or a civil union, registered domestic partnership, or equivalent relationship that is recognized under the applicable law of another state, as long as such relationship has not been dissolved under applicable law.

Second Domicile Adult's Child(ren) (Qualifying/Nonqualifying Child(ren))

An SDA Child is the child(ren) of your SDA that are not your biological child(ren).

Definition of Qualifying Child
An individual is your "qualifying child" if they:

• Are a citizen or national of the United States, or a resident of the United States, Mexico, or Canada;
• Are your child, sibling, step-sibling, or a descendant of any such individual;
• Are, as of the last day of the year, under age 19, under age 24 if a full-time student, or any age if permanently and totally disabled;
• Provide 50% or less of their own support for the year; and
• Reside at your principal place of residence for more than six months of the year (excluding temporary absences, such as for school).

To enroll your Related/Unrelated SDA and their child(ren), please complete the following forms:

• Declaration of Tax Status
• SDA Affidavit
  
• SDA Tuition Affidavit – Only for unrelated SDA's who are attempting to take coursework at DePaul.

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• Designate or update beneficiary information for life insurance at The Hartford Enrollment Site (thehartfordatwork.com).
  
• User ID is full employee ID (ex., 0123456)
  
• Password is your initials followed by your date of birth (MMDDYYYY)
  
• You will be required to reset your password during your initial login
• To designate or update beneficiary information for the 403(b) Plan, contact Fidelity (800-343-0860) or TIAA-CREF (800-842-2776).
  
• Anticipate new medical and/or dental insurance cards if applicable within 7-10 business days from Human Resources receiving your completed form and supporting documentation.
  

The request for coverage change must be made within 31 days of the change in status or event. If the request is not made within 31 days of your change in status or event, you will not be allowed to change your coverage until the next annual Open Enrollment period.

Any change in your deductions (if applicable) will be effective the first pay period following the change.

If you need help, contact the Benefits team online or call (312) 362-8232.