QSC
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Employee
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Spouse/Domestic Partner
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Dependent Child or Domestic Partner ("DP") Child
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Marriage
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Add
|
Add
|
Add
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Domestic Partner Commitment
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Add
|
Add
|
Add
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Divorce, Legal Separation, or Termination of DP Commitment
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Add
|
Drop
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Drop
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Death of Spouse/DP
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Add*
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Drop
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Drop
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Birth/Adoption/Legal Guardianship
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Add
|
Add
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Add
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Child Gains Eligibility
|
Add
|
Add
|
Add
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DP's Child Becomes Eligible
|
Add
|
Add
|
Add
|
Child Gains Eligibility Due to QMCSO
|
Add
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N/A
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Add
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Child/DP Child No Longer Eligible
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N/A
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N/A
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Drop
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Death of Child/DP Child
|
N/A
|
N/A
|
Drop
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You or Covered Dependent Gains Other Coverage
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Drop/reduce number of dependents
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Drop/reduce number of dependents
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Drop/reduce number of dependents
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You or Covered Dependent Loses Other Coverage
|
Add
|
Add
|
Add
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Change in Dependent Care Provider or Fees
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N/A
|
N/A
|
N/A
|
Move Out of Provider Service Area
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Change option
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Change option
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Change option
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If you are enrolled in the JPMC Core Medical Plan and move to AZ or OH
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You will automatically be enrolled in the JPMC Simplified Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change.
|
You will automatically be enrolled in the JPMC Simplified Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change.
|
You will automatically be enrolled in the JPMC Simplified Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change.
|
If you are enrolled in JPMC Simplified Medical Plan and move out of AZ or OH (including to California)
|
You will automatically be enrolled in the JPMC Core Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change. You will not have the option of enrolling in Kaiser.
|
You will automatically be enrolled in the JPMC Core Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change. You will not have the option of enrolling in Kaiser.
|
You will automatically be enrolled in the JPMC Core Medical Plan, for the rest of the calendar year. Your health care company (Aetna/Cigna) and election (Option 1 or 2) will not change. You will not have the option of enrolling in Kaiser.
|
If you are enrolled in the JPMC Medical Plan Kaiser HMO Option and move out of California (or out of the Kaiser service area)
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You will automatically be enrolled in Cigna Option 2, Core or Simplified Medical Plan, based on your new home state. You can contact HR Answers within 31 days of your move to change your options (Aetna/Cigna, Option 1 or 2)
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You will automatically be enrolled in Cigna Option 2, Core or Simplified Medical Plan, based on your new home state. You can contact HR Answers within 31 days of your move to change your options (Aetna/Cigna, Option 1 or 2)
|
You will automatically be enrolled in Cigna Option 2, Core or Simplified Medical Plan, based on your new home state. You can contact HR Answers within 31 days of your move to change your options (Aetna/Cigna, Option 1 or 2)
|